hesi milestone retake 48 questions and answers lat
Written for
Nursing assessment
All documents for this subject (9464)
Seller
Follow
superacademic
Reviews received
Content preview
HESI Milestone Retake 48 Questions
and Answers Latest Study Guide
Levels of Health Promotion -
✔️primary, secondary, tertiary
Application Examples of Levels of Promotion -
✔️primary- weight loss, diet, smoking cessation
Secondary- papsmears, mammograms, testicular exams
Tertiary- medication therapy, surgical treatment, physical therapy, teaching foot care
education to diabetic care
Primary -
✔️promotes health and preventing development of disease process or injury
Secondary -
✔️screening for early detection of disease
Tertiary -
✔️begins after illness is diagnosed and treatment. Aims to prevent long-term
consequences of chronic illnesses or disabilities
Nursing Assessments -
✔️Comprehensive- (Head to Toe) = Can be done inpatient and through primary
care (Physical assessment- annual exam)
Focused- Health and physical hx of specific problem.- ex. Sick visit
Emergency- crisis, life threatening. ex. airway, breathing, injury, disability, exposure,
med reconciliation
Phases of Interview process -
✔️Pre-interaction, beginning, working (open and close ended questions), closing
Data sources -
✔️Primary- individual patient
Secondary- chart info, family members
Purposes of Documentation -
✔️verbal communication, SBAR, written document
, ✔️BMR declines, Vitamin D supplements, Problems: decreased thirst, increase risk
for osteoarthritis, osteoporosis, dementia, obesity, social isolation
General Survey -
✔️mental note of overall health (hygiene/appearance). Assessing pain:
documentation, OLDCARTS/OPQRST. Aggravating and alleviating factors, pain goal
and funtional goal
Assessing Pain - Documentation -
✔️Acute vs. Chronic-Location
Heart Rate Elevated -
✔️above 100 beats per minute
Blood Pressure- Normal -
✔️above systolic- 120-129, diastolic- less than 80,
Blood Pressure- elevated -
✔️Hypertension: Stage 1: 130-139 or 80-89, Stage Hypertension 2: more than 140,
or greater than or equal to 90
When should BP be taken? -
✔️after patient rests for 5 minutues or 30 minutes after caffeine, smoking
Assessment of the Head and Neck -
✔️Inspect, palpate, auscultate
Infection -
✔️If nodes are palpable, warm, tender = infection
Assessment of the Ear - Techniques -
✔️Adults: up and back
Children: down and back
Assessment of the Ear - Techniques Part 2 -
✔️observe behavioral responses to speech, inspect ear formation (size, shape &
any malformation to the auricle, condition)
Perform whisper test & Rinne test. Pt plug one ear at a time
Perform weber test (evaluate unilateral hearing loss
Assessing the Chest -
✔️inspect, palpate, percuss, auscultate
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller superacademic. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.