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HESI MILESTONE 2 ACTUAL EXAM 3 (V1, V2 AND V3) . EACH VERSION HAS 100 QUESTIONS WITH CORRECT & DETAILED ANSWERS. ALREADY GRADED A+

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HESI MILESTONE 2 ACTUAL EXAM 3 (V1, V2 AND V3) . EACH VERSION HAS 100 QUESTIONS WITH CORRECT & DETAILED ANSWERS. ALREADY GRADED A+

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HESI MILESTONE 2 ACTUAL EXAM 3 (V1, V2 AND V3) . EACH VERSION HAS 100 QUESTIONS WITH CORRECT & DETAILED ANSWERS. ALREADY GRADED A+ . -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 o Intercostal retractions o Crackles o BNP levels (alveoli collapse because small airways are narrowed due to interstitial fluid and bronchial obstruction) Addison's Crisis Hypoglycemia S/S - ANS- weakness - fatigue - severe hypotension - nausea/vomiting - dehydration - dysrhythmias - shock ADHD Exam/Assessment - ANS- failure to listen/follow direction - difficulty playing quietly/sitting still - disruptive, impulsive behavior - distractibility to external stimuli - excessive talking - shifting from one unfinished task to another Aggression response - ANS5-phase cycle= Triggering (event), Escalation (movement toward a loss of control), Crisis (loss of control), Recovery (regain control), Postcrisis (reconciliation) ***Hx = likely to occur again Alcohol withdrawal - ANS- Needs to be done under medical supervision b/c can be deadly - VS Q4, onset of symptoms 4-6 hours after last drink, give lorazepam, reduce temp. - Tremors, nausea, vomiting Alcoholic hepatis teaching - ANS- low sodium diet - small frequent meals - no alcohol Anxiety Suicide Risks: - ANSRestless, difficulty concentrating, irritability - "Have you had any suicidal thoughts since starting bupropion?" Arterial Insufficency - ANS- mostly men - legs mostly affected arterial insufficiency symptoms - ANS-weak pedal pulses -shiny and cool skin -intermittent claudication - aching/cramping - induced fatigue

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Uploaded on: February 18, 2025
Number of pages: 57
Written in: 2024/2025
Type: Exam (elaborations)
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HESI MILESTONE 2 ACTUAL EXAM 3 (V1, V2 AND V3) . EACH VERSION HAS 100 QUESTIONS WITH CORRECT & DETAILED ANSWERS. ALREADY GRADED A+

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HESI MILESTONE 2 ACTUAL EXAM 3 (V1, V2 AND V3) . EACH VERSION HAS 100 QUESTIONS WITH CORRECT & DETAILED ANSWERS. ALREADY GRADED A+

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