Exam (elaborations)
HESI MILESTONE 2 2024/25 EXAM UPDATE WITH CORRECT VERIFIED ANSWERS A+ GRADED
- Course
- Institution
HESI MILESTONE 2 2024/25 EXAM UPDATE WITH CORRECT VERIFIED ANSWERS A+ GRADED
[Show more]
Content preview
HESI MILESTONE 2 2024/25 EXAM UPDATEWITH CORRECT VERIFIED ANSWERS A+
GRADED
Chemo Side Effects ...ANSWER... o Nausea/vomiting (24-48 hr,
v v vvv vv v v v
can be delayed up to 1 week)
v v v v v v v
Meningitis first step ...ANSWER... o Antibiotics - penicillin
v v vvv vv v v v
(ampicillin) AND cephalosporin
v v v
o Corticosteroids
v
Multiple sclerosis and urinary retention ...ANSWER... o
v v v v vvv vv
Sensation of void heeded immediately (bed pan/urinal @ bedside)
v v v v v v v v v
o Voiding schedule (start 1/5-2hr then extend)
v v v v v v
o Drink specific amt every 2 hour; urinate 30 min after w/ timer
v v v v v v v v v v v v
o Self-catherization
v
Acute renal failure priority ...ANSWER... o Maintain fluids
v v v vvv vv v v
o Avoid fluid excess
v v v
o Renal replacement therapy
v v v
o Reduce metabolic rate
v v v
o Promote pulmonary function
v v v
,Acute Respiratory distress priority findings ...ANSWER... o
v v v v vvv vv
Hypoxia
v
o Intercostal retractions
v v
o Crackles
v
o BNP levels
v v
(alveoli collapse because small airways are narrowed due to
v v v v v v v v
interstitial fluid and bronchial obstruction)
v v v v v
End of life plan of care ...ANSWER... o Signs and symptoms of
v v v v v vvv vv v v v v
impending death are recognized and communicated in
v v v v v v v
developmentally appropriate language for children and patients
v v v v v v v
with cognitive disabilities with respect to family preference. Care
v v v v v v v v v
appropriate to this phase of illness is proved to the patient and the
v v v v v v v v v v v v v
family
v
Cushing Syndrome ...ANSWER... o Can result from
v vvv vv v v v
corticosteroids
v
v***Attempt to reduce/taper medication while still treating
v v v v v v
vunderlying disease v
o Alternate day therapy decrease symptoms and allows adrenal
v v v v v v v v
glands to recover
v v v
Valve replacement teaching ...ANSWER... o Anticoagulant
v v vvv vv v
therapy (frequent follow-up/lab tests)
v v v v
§ Pt on warfarin has specific normal ratios
v v v v v v v
o Prevent infection
v v
, o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!
v v v v v
Cancer intractable pain plan of care ...ANSWER... o Pain,
v v v v v vvv vv v
other symptoms and side effects are managed based on the best
v v v v v v v v v v v
available evidence, with attention to disease-specific pain and
v v v v v v v v
symptoms, which are skillfully and systematically applied. ??????
v v v v v v v v
Schizophrenia nursing diagnoses and interventions v v v v vv
...ANSWER... - Dx: 2 or more S&S for over 6 mo (Positive=
v vv v v v v v v v v v v
delusions, hallucinations, disorganized speech or Negative= 6 A's
v v v v v v v v
Anhedonia, Flat Affect, Apathy, Anergia, Algogia, Avolition)
v v v v v v v
-Establish rapport and trust, ask about hallucinations, distract,
v v v v v v v
lower environmental stimuli, monitor suicidal ideation, 1st or 2nd
v v v v v v v v v
generation antipsych
v v
Grief process therapeutic response ...ANSWER... Allow the 5
v v v vvv vv v v
steps of grieving (DABDA), active listening and offer a supportive
v v v v v v v v v v
presence
v
Dementia action refusing ADLs ...ANSWER... Encourage
v v v vvv vv
finger foods, distraction, speak therapeutically
v v v v v
Alcohol withdrawal ...ANSWER... - Needs to be done under
v vvv vv v v v v v
medical supervision b/c can be deadly
v v v v v v
- VS Q4, onset of symptoms 4-6 hours after last drink, give
v v v v v v v v v v v
lorazepam, reduce temp.
v v v
- Tremors, nausea, vomiting
v v v
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
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 Ascorers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now