PN Exit Hesi Review 2022

What should you do first before applying a transdermal patch? - Clean skin prior to applying medication When should we remove a transdermal patch? - Before a MRI What should a patient do the first two weeks when using a transdermal patch? - Decrease exercise intensity the first two weeks What fluids should you take when taking iron replacement therapy? - citrus fruits/juices, enhances iron absorption, vitamin C Preferred site for infants and children for a IM injection - Ventrogluteal Muscle Is iron absorb better on an empty or full stomach? - empty because iron is a GI irritant What injection method is preferred for iron? - z-trach method how to store iron? - store in a light resistant container What is a subtotal gastrectomy? - removal of the distal part of the stomach Pre-op instructions for rectal hygiene - do NOT use a ring shaped device because it causes more stress on the surgical site. Apply cold/warm compress with sitz bath. Take stool softeners. High fiber diet encouraged Dumping Syndrome, what should we do if patient has it - avoid eating large meals, decrease large amounts of fluid with meals, lie down 30 min after a meal How to treat peptic ulcer disease? - antiacids, quit smoking, eliminate caffeine intake Good sources of carbohydrates? - pasta, rice, vegetables, bread, fruits Sources of B12 - Fish, meat, poultry, eggs, milk brain natruiretic peptide test (BNP) - test that determines heart failure and pulmonary disease (Negative test is under 100pg/ml) How to treat heart failure? - increase intake of potassium, such as dried fruits, green veggies Nitroglycerin tablets how should we use them - 3x every 5 min. if chest pain is still there call the emergency department Propanolol does what? - Beta Blocker, take medication with meals, purpose is to slow the heart rate and decrease work load what are calcium channel blockers for? (Amlodipine, Diltiazem) - treats hypertension, so monitor BP, N/V/V, confusion, urine retention and move positions slowly. What to monitor for with pacemakers? - chest pain, tachycardia, jugular veins, make sure to take antibiotics before dental procedures and avoid metal interactions What should we assess with cardiac dysthymia's? - stress level, exercise, caffeine and alcohol intake, use of decongestants. s/s of an arrhythmias - bradycardia, hypotension, heart failure, pulmonary embolism, avoid smoking, and salt What to do with someone who experiences ventricular tachycardia? - administer O2 in a stable patient amiodarone treats what? - a drug that can treat heart rhythm problems S/S of wound infection - purulent drainage, odor, redness, fever and pain Ophthalmic eye ointment - can treat chlamydia, given within first hour of birth Dehiscence - wound edges pull apart Evisceration - organs began to protrude out signs and symptoms of infection - increase temp, increase hr, decrease BP, n/v, malaise, decrease appetite how long does wound heeling take - 4-6 weeks