HESI MILESTONE #2 VERSION A AND B LATEST 2023-
2024 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A
VERSION A
What teaching should
... [Show More] a nurse conduct to a mother who was just diagnosed w
Engorgement? - ANSWER- sandwich technique :grasp her breast by making a "C"
with her thumb and index finger. The thumb stabilizes the top of the breast while
the remaining four fingers support her breast from below.
Massage or pumping the breast may soften and extend the nipple for easier infant
latch-on.
What should a nurse do if her patient Refuses RhoGam? - ANSWER- Consider
culture
Nurses need to respect whatever the mother's decision is.
What is 24 Hour Jaundice? What should be taught to mothers who baby's have
jaundice? - ANSWER- Physiologic jaundice is very common in newborns, with the
majority demonstrating yellowish skin, mucous membranes, and sclera within the
first 3 days of life.
Advise mothers to nurse their infants at least eight to 12 times per day for the first
several days
What are Variable Decelerations? What does it mean? How do we resolve it? -
ANSWER- visually apparent abrupt decreases in FHR below baseline and have an
unpredictable shape on the FHR baseline, possibly demonstrating no consistent
relationship to uterine contractions.
Variable decelerations are associated with cord compression
Turn the client on her left or right lateral, knee-chest, or hands and knees to
increase placental perfusion or relieve cord compression.
What is the Normal Fetal Heart Rate? - ANSWER- 110-160 bpm
What is IUGR? & What are NST Results? - ANSWER- intrauterine growth
restriction
2
Currently, an NST is recommended twice weekly (after 28 weeks' gestation) for
clients with diabetes and other high-risk conditions,
A nonreactive test has been correlated with a higher incidence of fetal distress
during labor, fetal mortality, and IUGR.
Additional testing, such as a biophysical profile, should be considered
What's the class of Methadone? What's methadone for? - ANSWER- opioid
Symptoms of opioid withdrawal
Onset could be 2 to 4 days, and the symptoms may take 2 weeks to subside.
treat addiction & withdrawl
Methadone can be used as a replacement for opioids, and the dosage is then
decreased over 2 weeks. Substitution of methadone during detoxification reduces
symptoms to no worse than a mild case of flu
What are the signs a Client is in their Termination Phase? - ANSWER- Abandons
old needs
Aspires to new goals
Becomes independent of helping person
Applies new problem-solving skills
Maintains changes in style of communication and interaction
Shows positive changes in view of self
Integrates illness
Exhibits ability to stand alone
What's the role of a Nurse during Termination Phase? - ANSWER- Sustains
relationship as long as client feels necessary
Promotes family interaction to assist with goal planning
Teaches preventive measures
Uses community agencies
Teaches self-care
Terminates nurse-client relationship
Maslow - ANSWER- The most basic needs— met first.
3
safety and security needs - 2nd level
Love and belonging needs - 3rd
esteem needs - 4th
self-actualization - 5th highest level
Why are Gout patients prescribed Allupurinol - ANSWER- Allopurinol is used to
decrease the about of serum uric acid levels
It is necessary to administer allopurinol after meals to ensure absorption.
What's the overall goal of Osteoarthritis pts? How does this relate to Exercise? -
ANSWER- decrease pain and stiffness and to maintain or, mprove joint mobility.
Exercise, especially in the form of cardiovascular aerobic exercise and lower
extremity strength training, has been found to prevent OA progression and decrease
symptoms of OA
Hypertonic Fluids - ANSWER- When normal saline solution or lactated Ringer
solution contains 5% dextrose, the total osmolality exceeds that of the ECF
Saline 3% or 5%
What should the Rn suspect to be prescribed for Treatment of Rheumatoid
Arthritis Pain? - ANSWER- NSAIDs (ibuprofen (Motrin) and naproxen
(Naprosyn))
COX-2 .
What is important to know about Hypothyroidism? - ANSWER- Levothyroxine
(Synthroid): Used to treat hypothyroidism.
People should take levothyroxine in the morning on an empty stomach. pulse
rate prior to administering the drug is more than 100 beats/min =notify the
prescriber
What's the Theraputic effect of synthroid - ANSWER- Increased energy
Decreased fatigue
What's the Broca's Area control? - ANSWER- Speech located
in a convolution adjoining the middle cerebral artery. [Show Less]