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BSN 225 HESI Exam Questions and Complete Solutions Graded A+
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BSN 225 HESI Exam Questions and Complete Solutions Graded A+
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BSN 225 HESI Exam Questions andComplete Solutions Graded A+
What is a 24 hour urine collection? - Answer: collecting each void within a 24 hour time frame, should be
kept in refrigerator or with preservative
*first void is discarded and the rest are collected.
What is a 24 urine collection for? - Answer: can provide diagnostic information about renal function,
fluid balance, and the existence of infection and other disorders.
*sees how much creatinine clears through the kidneys
*creatinine is a waste product of muscles and is excreted through your urine, if there is a low count then
this means that your kidneys are not functioning properly and you could have a kidney issue. excreted
feces assessment - Answer: Many hospitalized patients either are at risk for or have some type of
alteration in bowel elimination. The changes may be due to physiologic issues, such as surgical
alterations or disease processes, changes in diet, medication effects, or mobility issues. Changes may be
psychological and related to stress, anxiety, depression, or eating disorders.
Because the organs of the GI system process food and fluids for use within the body systems, any
alteration may lead to serious issues for the patient. Impaired elimination has serious implications for
patient well-being and treatment outcomes.
looking for: diarrhea, incontinence, constipation, impaction
What are normal blood pressure readings? - Answer: Normal: <120/<80
Hypo: S= <90 or D= <60
Elevated: 120-129/<80
Hyper stage 1: 130-139/80-89
Hyper stage 2: >140/>90
, What does the RN do for an elevated blood pressure? - Answer: Nursing interventions include assessing
hypertension risk factors, obtaining blood pressure readings, evaluating medication compliance, and
monitoring for side effects of pharmacological medications used for hypertension.
What is orthostatic hypotension? - Answer: a sudden drop of 20 mm Hg in systolic pressure and 10 mm
Hg in diastolic pressure when the patient moves from a lying to sitting to standing position. The low
pressure occurs from peripheral vasodilation with no rise in cardiac output for compensation. It occurs
with aging and is a common side effect of several medications. Other risk factors for orthostatic
hypotension include prolonged immobility, dehydration, and blood loss.
What are barbiturates? - Answer: a sedative that slow pulse and breathing, lowered blood pressure;
reduced anxiety, feeling of well-being, lowered inhibitions; poor concentration/fatigue, confusion;
impaired coordination, memory, judgment; addiction
*PHENobarbital
Urinary retention - Answer: inability to empty the bladder caused by obstruction or neurologic
disorders.
*Acute urinary retention is a medical emergency necessitating prompt medical intervention.
*for a ruptured bladder a triple lumen catheter would be used to help drain blood and clots from the
bladder.
*foley catheters should be left in for 3 days
What is chronic pain? - Answer: postoperative pain that persists more than 3 months (following surgery)
and pain (not following surgery) lasting longer than 6 months. This interferes with daily functioning and
is accompanied by distress on a continuing basis. It is caused by an irritation of nerves and/or tissues.
Chronic pain may be a complaint, a disease, or secondary to a disease.
Nonpharmacological: repositioning, massage, distraction through activities, television or music.
pharmacological: pain medication, ointments, patches
What is SBAR? - Answer: S: Situation
B: Background
A: Assessment
R: Recommendation
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