HESI Milestone 3 - Saunders Review questions and answers(already passed)
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HESI MILESTONE
Institution
HESI MILESTONE
what does RN do after seizure
- check for apnea episodes
pt walking w/ a walk with elbows flexed
this is normal, proceed
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pt w/ diabetes, HTN, who has a seve...
HESI Milestone 3 - Saunders
Review questions and
answers(already passed)
Levothyroxine is prescribed for a client diagnosed with
hypothyroidism. Upon review of the client's record, the nurse notes
that the client is taking warfarin. Which modification to the plan of
care would the nurse review with the client's primary health care
provider? - answer A decreased dosage of warfarin sodium
Rationale:
Levothyroxine accelerates the degradation of vitamin K-dependent
clotting factors. As a result, the effects of warfarin are enhanced. If
thyroid hormone replacement therapy is instituted in a client who
has been taking warfarin, the dosage of warfarin would be reduced.
A client received 20 units of Humulin N insulin subcutaneously at
08:00. At what time would the nurse plan to assess the client for a
hypoglycemic reaction? - answer 17:00
Rationale:
Humulin N is an intermediate-acting insulin. The onset of action is
60 to 120 minutes, it peaks in 6 to 14 hours, and the duration of
action is 16 to 24 hours. Hypoglycemic reactions most likely occur
during peak time.
The nurse teaches a client newly diagnosed with type 1 diabetes
about storing Humulin N insulin. Which statement indicates to the
nurse that the client understood the discharge teaching? - answer "I
can store the open insulin bottle in the kitchen cabinet for 1
month."
, Rationale:
An insulin vial in current use can be kept at room temperature for 1
month without significant loss of activity. Direct sunlight and heat
must be avoided. Therefore, options 1, 2, and 4 are incorrect.
Metformin is prescribed for a client with type 2 diabetes mellitus.
What is the most common side effect that the nurse would include
in the client's teaching plan? - answer Gastrointestinal disturbances
Rationale:
The most common side effect of metformin is gastrointestinal
disturbances, including decreased appetite, nausea, and diarrhea.
These generally subside over time. This medication does not cause
weight gain; clients lose an average of 7 to 8 lb (3.2 to 3.6 kg)
because the medication causes nausea and decreased appetite.
Although hypoglycemia can occur, it is not the most common side
effect. Flushing and palpitations are not specifically associated with
this medication.
A client arrives at the clinic complaining of fatigue, lack of energy,
constipation, and depression. Hypothyroidism is diagnosed, and
levothyroxine is prescribed. What is an expected outcome of the
medication? - answer Achieves normal thyroid hormone levels
Rationale:
Laboratory determinations of the serum thyroid-stimulating
hormone (TSH) level are an important means of evaluation.
Successful therapy causes elevated TSH levels to decline. These
levels begin their decline within hours of the onset of therapy and
continue to decrease as plasma levels of thyroid hormone build up.
If an adequate dosage is administered, TSH levels remain
suppressed for the duration of therapy. Although energy levels may
increase and the client's mood may improve following effective
treatment, these are not noted until normal thyroid hormone levels
are achieved with medication therapy. An increase in the blood
glucose level is not associated with this condition.
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