Exit HESI Version 1 questions and answers well illustrated.

Exit HESI Version 1 questions and answers well illustrated. what do you screen for on a newborn baby? - correct hyroidism check T4 level (decreased) what would the potassium level be in a pt with diabetes insipidus? - correct alemia what is an expected side effect of Solu-Medrol? - correct ing, bruising what does Pilocarpine treat? - correct oma antidote is atropine sulfate may get a dry mouth TPN - correct al venous catheter check for cloudiness refrigerate- warm before administration monitor electrolytes everyday monitor for hyperglycemia and infection change tubing with each new bag nothing else goes through this line what drug would you give is extravasation has occurred? - correct olamine (Regitine)- it's a vasodilator and will increase blood flow to the area to prevent necrosis what diet would be chosen for a pt with CKD? - correct & cream of wheat FIRST action for late decels? - correct O2 what do you give a premature infant with RDS? - correct ctant betamethasone (Celestone) stimulates surfactant production in alveolar space causing less tension when infant breaths- given IM to mother in preterm labor FIRST action for a newborn choking? - correct ate what would you teach a client about getting pregnant who just received a Rubella vaccine? - correct 't get pregnant for 3 months pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do? - correct ase O2 a pt returns from TURP surgery, what can the RN delegate? - correct daily I&O's- subtract irrigate from output kegal exercises for temporary incontinence what can be delegated to a nursing assistant or UAP? - correct discontinue suction, but cannot turn back on grooming & hygiene feeding VS ROM I&O's obtain clean urine specimen transport client transfer from bed to chair; help with bed to stretcher help with turning and repositioning ambulate what can be delegated to a LPN? - correct answers.PO meds and injections routine data collection, dressing change, catheter insertion, suctioning reinforce teaching; basic, simple teaching (turn, cough, deep breath) assist HCP in procedures when RN is unavailable (NGT insertion) can perform specific tasks in unstable situations what can the RN not delegate? - correct sment, diagnose, analyze, plan, evaluate, teach, monitor receive and give report triage invasive lines sterile technique new admissions pre-op & post-op assessment what should you be monitoring in a client who has had a nephrectomy? - correct answers.UOP it is more important than drainage what is important when caring for pt in skeletal traction? - correct care; sterile technique; remove crust; serous drainage is ok what do you do if the pins come out of someone with skeletal traction? - correct ilize extremity do not re-insert how do you deal with a rude doctor that is avoided by the nurses? - correct meeting what are some diet recommendations for a client with anorexia who has become hypoglycemic? - correct e sugars- milk, coke, juice, raisins once sugar is up, eat complex carbs & protein- PB and crackers low fat, high calorie, high protein what would you teach a pt taking disulfiram (Antabuse)? - correct sign consent form stating they will avoid all alcohol many preparations contain alcohol- cough syrup, mouthwash, aftershave, cologne what is confrontation? - correct ng attention to inconsistent behaviors what is reflecting? - correct hrasing or repeating what client said if a manic client is monopolizing group therapy what do you do? - correct them to stop talking and try to listen to others tell them to take a walk with you how do you communicate with a client who has disordered thinking about food being poisoned? - correct -ended questions & silence what client would most likely be experiencing delirium? - correct answers.a client with constant pain or insomnia how would you reduce anxiety in a client who is OCD? - correct them time to finish their ritual and then talk about it what is the priority for a depressed client who has not slept? - correct a client who is bipolar is going home for the weekend to adjust for discharge. what do you tell the family? - correct nue normal daily activities how do you position a client with an air embolism? - correct elenburg (HOB down) what do you do for a client with absent lung sounds? - correct pulse, if no pulse- perform CPR if they have a pulse perform rescue breaths- 1 every 6-8secs if a client has a pulse with absent breath sounds on the left side what do you do? - correct re to reposition ETT what do you suspect in a child with an irregular pulse? - correct answers.Kawasaki disease what do you monitor for in adrenal insufficiency (no steroids)? - correct hyperkalemia increase sodium in diet what do you monitor for in addisonian crisis? - correct e hypotension hypoglycemia if a client suddenly withdraws from steroids what do you do? - correct VS what do you teach a client taking prednisone? - correct or for hyperglycemia take in morning