HESI Milestone 2 Exam (Latest 2023-2024) | 100% Correct| Questions and Verified Answers
QUESTION
What is the nursing management in a pt who has a
... [Show More] small Bowel Obstruction?
Answer:
Decompress the bowel via NG tube- can be tried for 3 days for partial obstruction.
Goal- rest bowel.
does not require surgery = maintain function of the NG, assessing and measuring the NG output, assessing for fluid and electrolyte imbalance, monitoring nutritional status, and assessing for manifestations consistent with resolution
. NPO bc high risk of fluid imbalance
Nursing care post surg repair of a small bowel obstruction is similar to that for other abdominal surgeries
QUESTION
What should the nurse report to the provider in a pt w/ a SBO?
Answer:
discrepancies in I&O
worsening pain or abdominal distention
increased NG output.
If condition does not improve = prepares for surgery.
QUESTION
What are signs that a SBO (small bowel obstruction) has resolved?
Answer:
return of normal bowel sounds
decreased abdominal distention
subjective improvement in abdominal pain and tenderness
passage of flatus or stool
QUESTION
What should an RN teach a pt w/ GERD?
Answer:
avoid situations that decrease lower esophageal sphincter pressure or cause esophageal irritation.
eat a low-fat diet
avoid caffeine, tobacco, beer, milk, foods containing peppermint or spearmint, and carbonated beverages
avoid eating or drinking 2 hours before bedtime
; maintain normal body weight
avoid tight-fitting clothes
elevate the head of the bed by at least 30 degrees
QUESTION
What should the rn monitor for Ulcerative Colitis w/ Diarrhea
Answer:
Identifying precipitating factors
the frequency of bowel movements & character, consistency
amount of stool passed is important.
QUESTION
What's the nursing management of a or w ulcerative colitis pt w/ diarrhea
Answer:
provides ready access to a bathroom, commode, or bedpan
keeps the environment clean
. Administer antidiarrheal medications as prescribed.
Loperamide may be prescribed 30 minutes before meals
The nurse should record the frequency and consistency of stools after therapy is initiated.
QUESTION
What medication may be prescribed 30 mins before a meal to an ulcerative colitis pt w diarrhea
Answer:
Loperamide
QUESTION
What's the oxygen goal of a COPD pt?
Answer:
increase the baseline resting PaO2 to at least 60 mm Hg
Increase SaO2 to at least 90%
QUESTION
What's the purpose of oxygen in COPD pts?
Answer:
improve quality of life
reduce pulmonary arterial pressure
Reduce dyspnea
improve survival.
QUESTION
When is long term oxygen therapy introduced in COPD pts?
Answer:
usually introduced in very severe COPD
indications : PaO2 of 55 mm Hg or less or evidence of tissue hypoxia and organ damage such as cor pulmonale, secondary polycythemia, edema from right-sided heart failure, or impaired mental status.
Although the hypoxic drive is often cited as a concern in administering supplemental oxygen to patients with COPD, in actuality it is a very small part of the overall stimulus driving the respiratory
QUESTION
What's the treatment management of COPD
Answer:
promoting smoking cessation [Show Less]