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HESI MILESTONE 2 ACTUAL EXAM 3 LATEST VERSIONS (V1, V2 AND V3) EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

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. -Chemo Side Effects - ANSo Nausea/vomiting (24-48 hr, can be delayed up to 1 week) 24 hour- Jaundice - ANSPhysiologic jaundice occurs from a normal reduction in red blood cells. Pathologic jaundice occurs within first 24 hours of life OR persists beyond 7 days A client with anorexia has her friend bring her several cookbooks so she can plan a party when she is discharged. What nursing intervention is appropriate in addressing this behavior? - ANSDiscuss activities that don't involve food that can take place after discharge. Discuss the cookbooks with the treatment team, and if the treatment plan so indicates, take the books from the client. A nurse is preparing a client for the termination phase of the nurse-client relationship. The nurse prepares to implement which nursing task appropriate for this phase? - ANSMaking appropriate referrals ABG findings - ANSpH: 7.35 - 7.45 PCO2: 35 - 45 mmHg HCO3: 22 - 26 mmHg Acute Pancreatitis assessment - ANSHistory, ETOH abuse, severe LUQ pain, tachy, restless, decrease bowel, jaundice, grey turner or Cullen signs, increase serum amylase/lipase or WBC, hyperlipidemia Acute renal failure priority - ANSo Maintain fluids o Avoid fluid excess o Renal replacement therapy o Reduce metabolic rate o Promote pulmonary function Acute Respiratory distress priority findings - ANSo Hypoxia

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