Exit HESI (Actual hesi hints), EXIT HESI 2 Study Guide Exam
what is considered a postpartum infection?
a fever on 2 consecutive days for the first
... [Show More] 10 days postpartum not including the first day
wound infections
mastitis
endometritis
UTIs
respiratory tract infections
what do you suspect in a child with an irregular pulse?
Kawasaki disease
what do you screen for on a newborn baby?
hypothyroidism
check T4 level (decreased)
what is an expected side effect of Solu-Medrol?
bleeding, bruising
what does Pilocarpine treat?
glaucoma
antidote is atropine sulfate
may get a dry mouth
TPN
central 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?
phentolamine (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?
bread & cream of wheat
pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do?
increase O2
what should you be monitoring in a client who has had a nephrectomy?
UOP
it is more important than drainage
what is important when caring for pt in skeletal traction?
pin care; sterile technique; remove crust; serous drainage is ok
how do you deal with a rude doctor that is avoided by the nurses?
staff meeting
what is confrontation?
calling attention to inconsistent behaviors
what is reflecting?
paraphrasing or repeating what client said
what client would most likely be experiencing delirium?
a client with constant pain or insomnia
what is the priority for a depressed client who has not slept?
sleep
a client who is bipolar is going home for the weekend to adjust for discharge. what do you tell the family?
continue normal daily activities
if a client has a pulse with absent breath sounds on the left side what do you do?
prepare to reposition ETT
what do you monitor for in adrenal insufficiency (no steroids)?
shock
hyperkalemia
increase sodium in diet
if a client suddenly withdraws from steroids what do you do?
check VS
what do you teach a client taking prednisone?
monitor for hyperglycemia
take in morning
you are caring for a client with AIDS and you accidentally stick yourself with a sterile needle. what do you do?
go get a new needle- no need to report
what do you teach a pt taking an antipyretic for and increased temp?
give with fluids because fever can cause dehydration
what is suspected if there is an increase in serosanguineous drainage?
dehiscence
what would you expect in a client with an epidural hematoma?
temporary loss of consciousness, followed by a lucid period, and then gradually leading to coma
for maximum effectiveness, what should older clients use for dry skin?
petroleum based ointment
what are signs of pain in an infant?
grimacing
tachycardia
restlessness
irritability
difficulty feeding/sleeping
increased RR
diaphoresis
decreased O2 levels
what is priority for a client with renal lithiasis?
address pain- these pts get pain meds immediately (don't teach important of straining urine- that's RNs job)
what do you do for a pt on Amph B?
monitor UOP- it's nephrotoxic
what is the priority assessment in a client who has lost a tooth and has an eye injury?
check pupils
where should the level of water be in the water seal chamber?
at 2cm
where should the level of water be in the suction control chamber?
at 20cm [Show Less]