HESI MILESTONE 2 RETAKE 2023/24 EXAMS AND A STUDY
GUIDE ACTUAL EXAM CONTAINS 100 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
1. Continuous bladder irrigation: A three-way (lumen) irrigation is used to de-
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bcrease bleeding and to keep the bladder free from clots—one lumen is for
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binflating the balloon (30 mL); one lumen is for instillation (inflow); one lumen is
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bfor outflow.
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Continuous irrigation may be used with TURP.
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The amount of fluid recovered in the drainage bag must equal the amount of fluid
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binstilled -- secondary hemorrhage may occur from overdistension
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2. Urethritis: Common in postmenopausal women b b b b
Low estrogen levels decrease moisture and secretions in the perineal area, predis-
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bposing it to the development of infection
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,Testing: STI, multiple dipstick, leukocyte esterase, nitrite testing, x-ray, CT, ultra-
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bsonography, kidney scans b b
3. Renal Calculi Risk Factors: 1. Kidney diseases: Polycystic kidney
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bdisease, horseshoe kidneys, chronic strictures, and medullary sponge disease
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2. IBD, ileostomy, bowel resection
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3. Medications: Antacids, acetazolamide (Diamox), vitamin D, laxatives, and b b b b b b b
bhigh doses of aspirin
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4. Calculi pain: Requires immediate b b b
battention IV or IM opioids b b b b
IV NSAIDs
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If pain increases, notify HCP
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5. Imitrex contraindications: Ischemic heart b b b
bdisease St. John's wortb b b
6. Seizures: Assessment b
· History, factors/precipitating events, alcohol, aura
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Planning and Goals b b
· Prevention of injury, control seizures, psychosocial adjustment,
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,bunderstanding, absence of complications
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Nursing Interventions
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· Prevent injury, seizure precautions
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Reducing Fear of Seizures
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· Adhere to prescribed treatment, take on a regular basis, monitor for drug resistance
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bPrecipitating factors: b
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, · Emotional disturbances, new environmental stressors, onset of menstruation,
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b fever, change in lifestyle routine, bright flickering lights, stress, alcohol
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Monitoring and Managing Potential Complications
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· Status epilepticus b
· Toxicity of meds b b
7. Hyperthyroidism signs/symptoms: Ophthalmopathy - exophthalmos b b b b
b (abnor- mal protrusion of one or both eyeballs), (not always reversible)
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Nervousness: Hyperexcitable, irritable, apprehensive, · cannot sit quietly, fine hand
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b tremor
Cardiac: palpitations, rapid pulse, A-fib (new onset in adults), fatigability,
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b weakness Skin: tolerate heat poorly, perspire, flushed skin, dry skin, diffuse
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b pruritus
GI: · amenorrhea, changes in bowel function, increased appetite, weight loss
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8. Exophthalmos-POC: Assessment: b
- Vision changes, trauma, visual acuity
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