Milestone HESI Retake questions and answers(already passed)
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Course
HESI MILESTONE
Institution
HESI MILESTONE
The nurse is caring for a client who is on strict bed rest and creates a plan of care with goals related to the prevention of deep vein thrombosis and pulmonary emboli. Which nursing action is most helpful in preventing these disorders from developing?
Encouraging active range-of-motion exercises
...
Milestone HESI Retake
questions and answers(already
passed)
Levels of Health Promotion - answer primary, secondary, tertiary
Application Examples of Levels of Promotion - answer 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 - answer promotes health and preventing development of
disease process or injury
Secondary - answer screening for early detection of disease
Tertiary - answer begins after illness is diagnosed and treatment.
Aims to prevent long-term consequences of chronic illnesses or
disabilities
Nursing Assessments - answer 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 - answer Pre-interaction, beginning,
working (open and close ended questions), closing
Data sources - answer Primary- individual patient
Secondary- chart info, family members
Purposes of Documentation - answer verbal communication, SBAR,
written document
Lifespan Nutritional Considerations - Nutrition: Pregnant Women -
answer need additional 300-500 cal/day (whole foods
Lifespan Nutritional Considerations - Nutrition: infants/children -
answer infants/children: whole milk for ages 2-5 fat intake-brain
development
Lifespan Nutritional Considerations - Nutrition: Older - answer BMR
declines, Vitamin D supplements, Problems: decreased thirst,
increase risk for osteoarthritis, osteoporosis, dementia, obesity,
social isolation
General Survey - answer mental note of overall health
(hygiene/appearance). Assessing pain: documentation,
OLDCARTS/OPQRST. Aggravating and alleviating factors, pain goal
and funtional goal
Assessing Pain - Documentation - answer Acute vs. Chronic-Location
Heart Rate Elevated - answer above 100 beats per minute
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