HESI MILESTONE 2 REMEDIATION ACTUAL EXAM
CONTAINS 120 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Terms in this set (118)
o Nausea/vomiting (24-48 hr, can be delayed up to 1
-Chemo Side Effects
week)
o Antibiotics - penicillin (ampicillin) AND cephalosporin
Meningitis first step
o Corticosteroids
o Sensation of void heeded immediately (bed pan/urinal
@ bedside)
Multiple sclerosis and o Voiding schedule (start 1/5-2hr then extend)
urinary retention o Drink specific amt every 2 hour; urinate 30 min after w/
timer
o Self-catherization
o Maintain fluids
o Avoid fluid excess
Acute renal failure priority o Renal replacement therapy
o Reduce metabolic rate
o Promote pulmonary function
o Hypoxia
o Intercostal retractions
o Crackles
Acute Respiratory distress
o BNP levels
priority findings
(alveoli collapse because small airways are narrowed
due to interstitial fluid and bronchial obstruction)
, o Signs and symptoms of impending death are
recognized and communicated in developmentally
appropriate language for children and patients with
End of life plan of care
cognitive disabilities with respect to family preference.
Care appropriate to this phase of illness is proved to the
patient and the family
o Can result from corticosteroids
***Attempt to reduce/taper medication while still treating
Cushing Syndrome underlying disease
o Alternate day therapy decrease symptoms and allows
adrenal glands to recover
o Anticoagulant therapy (frequent follow-up/lab tests)
§ Pt on warfarin has specific normal ratios
Valve replacement teaching o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL
PROCEDURES!!!
o Pain, other symptoms and side effects are managed
Cancer intractable pain based on the best available evidence, with attention to
plan of care disease-specific pain and symptoms, which are skillfully
and systematically applied. ??????
- Dx: 2 or more S&S for over 6 mo (Positive= delusions,
hallucinations, disorganized speech or Negative= 6 A's
Anhedonia, Flat Affect, Apathy, Anergia, Algogia,
Schizophrenia nursing
Avolition)
diagnoses and interventions
-Establish rapport and trust, ask about hallucinations,
distract, lower environmental stimuli, monitor suicidal
ideation, 1st or 2nd generation antipsych
Grief process therapeutic Allow the 5 steps of grieving (DABDA), active listening
response and offer a supportive presence
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