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2024 HESI MILESTONE EXAM 2 WITH CORRECT ANSWERS
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2024 HESI MILESTONE EXAM 2 WITH CORRECT ANSWERS
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2024 HESI MILESTONE EXAM 2WITH CORRECT ANSWERS
-Chemo Side Effects - CORRECT-ANSWERSo Nausea/vomiting (24-48 hr, can
be delayed up to 1 week)
Hemophilia Safety - CORRECT-ANSWERS- apply padding to sharp edges
- child falls on bike causing swelling (Rest, Ice, Compression, Elevation)
- noncontact sports like swimming, biking, walking
- RN= frequent BP, rectal suppositories, temps, and aspirin
Tetralogy of fallot complications - CORRECT-ANSWERShypercyanotic "TET"
spells - bring knees to chest
Chronic Kidney Disease = metabolic acidosis - CORRECT-ANSWERSkidneys
fail, no longer reabsorb HCO3 (bicarb), serum bicarbonate decrease =
acidosis occurs
** sodium bicarb administration
ABG findings - CORRECT-ANSWERSpH: 7.35 - 7.45
PCO2: 35 - 45 mmHg
HCO3: 22 - 26 mmHg
Meningitis first step - CORRECT-ANSWERSo Antibiotics - penicillin (ampicillin)
AND cephalosporin
o Corticosteroids
Elevated PaCO2 levels (Respiratory Acidosis= - CORRECT-
ANSWERSpneumonia, asthma, COPD (Assess lungs for increased pulmonary
secretions)
Decreased PaCO2 levels (Respiratory Alkalosis)= - CORRECT-
ANSWERShyperventilation
Elevated HCO3 levels (Metabolic Alkalosis)= - CORRECT-
ANSWERSRespiratory acidosis compensates
Decreased HCO3 levels (Metabolic Acidosis)= - CORRECT-
ANSWERSRespiratory alkalosis compensates - Kussmaul respirations.
, Pulmonary Edema- first action - CORRECT-ANSWERSplace patient in high
fowlers, feet hanging over edge of bed
NSR (Normal Sinus Rhythm) - CORRECT-ANSWERS60-100 bpm
P wave always infront
P:QRS ratio 1:1
diabetes insipidus (DI) = makes you want to SIP water - CORRECT-
ANSWERSInsufficient ADH from posterior pituitary gland
- polyuria
- polydipsia
- dehydration
- hypotension
* water deprivation test
* give vasopressin, desmopressin
Pulmonary Embolism- report findings - CORRECT-ANSWERShypotension
tachycardia
tachypnea
SOB
anxiety
chest pain w/ inspiration
petechiae
diaphoresis
***** INCREASE D-DIMMER!!!
Glaucoma S/S (open angle) - CORRECT-ANSWERSloss of peripheral
mild aching
headache
** tonometry diagnose between the two
Glaucoma S/S (closed angle) - CORRECT-ANSWERSsevere eye pain
sever headache
blurry vision
halo around lights
reddened sclera
nausea/vomiting
Guillain-Barre syndrome - CORRECT-ANSWERSParesthesia
(numbness/tingling), weakness in legs, absent DTR's, paralysis of ocular
facial and oropharyngeal muscles
** watch for shallow/rapid breathing, ask if cold/stomach flu in last month
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