HESI Milestone #2 Questions and Answers (Graded A)

HESI Milestone #2 Questions and Answers (Graded A)HESI Milestone #2 Questions and Answers (Graded A) -Chemo Side Effects - ANSWER-o Nausea/vomiting (24-48 hr, can be delayed up to 1 week) Meningitis first step - ANSWER-o Antibiotics - penicillin (ampicillin) AND cephalosporin o Corticosteroids Multiple sclerosis and urinary retention - ANSWER-o Sensation of void heeded immediately (bed pan/urinal @ bedside) o Voiding schedule (start 1/5-2hr then extend) o Drink specific amt every 2 hour; urinate 30 min after w/ timer o Self-catherization Acute renal failure priority - ANSWER-o Maintain fluids o Avoid fluid excess o Renal replacement therapy o Reduce metabolic rate o Promote pulmonary function Acute Respiratory distress priority findings - ANSWER-o Hypoxia o Intercostal retractions o Crackles o BNP levels (alveoli collapse because small airways are narrowed due to interstitial fluid and bronchial obstruction) End of life plan of care - ANSWER-o Signs and symptoms of impending death are recognized and communicated in developmentally appropriate language for children and patients with cognitive disabilities with respect to family preference. Care appropriate to this phase of illness is proved to the patient and the family Cushing Syndrome - ANSWER-o Can result from corticosteroids ***Attempt to reduce/taper medication while still treating underlying disease o Alternate day therapy decrease symptoms and allows adrenal glands to recover Valve replacement teaching - ANSWER-o Anticoagulant therapy (frequent follow-up/lab tests) § Pt on warfarin has specific normal ratios o Prevent infection o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!