Hesi Milestone Herzing Funds questions and answers(already passed)
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Course
HESI MILESTONE
Institution
HESI MILESTONE
Eyedrop admin Teach:
-Have the patient sit comfortably (Semi Prone)
-Wash hands before and after administration
-6 Rights of medication
-Pull down lower lid to place in the fornix
-Do NOT allow the tip of the bottle touch the patient.
Enema Prep:
-Reinforce and correct misconceptions a...
HESI Milestone Exam #1
questions and
answers(already passed)
Histamine1 blockers action(mine, zine, dine) - answer bind
selectively to H1-histaminic receptors, blocking the actions of
histamine at these sites
H1 antagonists are useful in treating - answer -mild
allergies(seasonal rhinitis)
-severe allergies(anaphylaxis)
-motion sickness
-insomnia
-common cold
Histamine (H2)-Receptor Antagonists action(tidine) - answer block
the H2 receptors responsible for stimulating the secretion of gastric
acid
Exenatide (Byetta) hypoglycemia - answer -can occur right after
meals
-for severe hypoglycemia give IV dextrose
Exenatide (Byetta) hypoglycemia teaching - answer -teach about s/s
of hypoglycemia(cold and clammy give them candy)
-have glucagon emergency kit available
-regular monitoring of A1c levels are required
signs and symptoms of hypoglycemia - answer -tachycardia
-palpitations
-sweating
-nervousness
-headache
-confusion
-drowsiness
-fatigue
antitussives therapeutic action is to - answer Act on the cough
control center in the medulla to suppress the cough reflex; used for
a cough that is nonproductive and irritating
Anaphylaxis treatment - answer epinephrine (subQ, IM, or IV) plus
respiratory support
What drugs are effective and safe alternatives for patients with
penicillin allergies? - answer vancomycin, erythromycin, and
clindamycin
, To ensure prompt treatment if anaphylaxis should develop patients
should be? - answer observed for at least 30 minutes after drug
injection (i.e., until the risk of an anaphylactic reaction has passed).
To minimize the chances of an anaphylactic reaction, penicillin
should be administered - answer an initial small dose is followed at
60-minute intervals by progressively larger doses until the full
therapeutic dose has been achieved
Morphine overdose treatment - answer -Naloxone (narcan)
-Intravenous, IM, and subQ. For initial treatment, administer IV
CT‐diarrhea‐action - answer -decrease intestinal motility and
thereby slow intestinal transit, which allows more time for
absorption of fluid and electrolytes
-activation of opioid receptors decreases secretion of fluid into the
small intestine and increases absorption of fluid and salt.
ACE inhibitor‐hyperkalemia - answer -Inhibition of aldosterone
release (secondary to inhibition of angiotensin II production) can
cause potassium retention by the kidney.
-significant potassium accumulation is limited to patients taking
potassium supplements, salt substitutes (which contain potassium),
or a potassium-sparing diuretic.
Leukotrienes‐teaching - answer 1. To take medication 1 hour before
or 2 hours after
meals
2. To increase fluid intake
3. Not to discontinue the medication and to take it as
prescribed, even during symptom-free period
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