HESI Review PDF

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in class review and filled out study guide for the final...

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HESI Review ● saunders comprehensive review NCLEX_RN examination 6th edition silvestri elesiver ● 5 pilot questions – don’t hurt/help u ● if in distress don’t not assess o if baby is gurgling/ in destress don’t auscultate lungs – do something ● eliminate if says o vigorous, always, never, all o no superlatives ● after a person’s falls u assess then complete incident report then reassess o bc with falls a problem couldn’t be seen till later o can chart pt on floor stated fell out of bed o can chart he fell out of bed bc u didn’t actually see the fall ▪ unless u literally saw them fall o when pt falls they are a new pt with a new problem o cumidin – blood thinner? – always check if on this if fall bc then serious ● if someone started collapsing but u catch them and lower to floor – still fall – butt touched floor ● food for iron deficiently anemia – oranges and dark leafy vegetables o pt understands = want right answer o suggests further teaching – want wrong answer ● broiled is healthier than fried ● pt with chronic kidney disease on dialysis wants diet without salt (sodium), potassium, high protein o cream of wheat, blueberries, coffee o cant limit everything – controlled amount o on dia everything is considered high beforehand except calcium o want stuff with this bc before dia levels are high ● anthrax (from cows) transmitted by o inhalation of bacteria spoes o through a cut or abrasion o not contajus o eat contaminated meat ● internal radiation implant (seeds) – can be cervical cancer (if so bed rest bc just placed in not sewed in – if falls out pick up with long forceps and put in lead box) o nurse can be exposed for max of 30 minutes a day o no one under 16 visit o linens keep in room til discharge o stand behind screen to protect o don’t put 2 radiation pt together – double radiatinon o nurse wear lead sheet when providing care o private room with private bath ● know different ppe for isolation and what dieases for it

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o staph is contact but if also has colostomy potential for splash so eye cover too if poisoned o never make decision to induce vomiting o call posion control and they will tell u what to do measles, varaclla, tb, shingles – airbore o for airbone pt wear persons resoiratory protection device o droplet needs private room or cohort client if given an age in question that’s significant urinary output of 20 an hour bad – 30ml is minimum client doesn’t eat 12 hours before surgery anything perforatored like in abdomen – go to or immediately can send send to surgery without consent if no family and emergency o if pt under and needs consent call fam for telephone consent o nurses don’t obtain consent we witness it o so doctor would call but we’d listen o if not emergency – cancel o if give pre op meds before consent given cant given surgey that day ▪ unless emergency incentive spirometer o breath in slowly o sit up of head of bed at 45 or 90 degrees aspirin needs to be stopped a week before surgery serious drainage is normal after surgery – expected restlessness is not good o if this is exhibited after surgery this is concerning o early sign of hypoxeia o blue lips – late sign enema – left sims position o seizure also left o labor if problem left – shift weight off heart o only right side – liver biopsy – lay them on the side they did surgery on bc tampers bleeding elevate new stump only 24 after surgery with pillows not higher o after 24 can cause hip contractor o prone them 3 times a day for 30 mins – after the 24 hours ▪ prone for babies with spinabithada pt with autograph for severe burn – elevate and immobilize extremity for 3-7 days if not disturb grapf site cardiac cath in femoral – best rest with head elevation no grater than 30 degrees o first 6 hours ▪ bc thinner blood o check dressing every 30 mins – pressure dressing

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o if pt has back problems and cant tolderate bed rest – elevate feet so almost upside down ng tube – high fowlers o nurse doesn’t stand right infront of pt – stand to side so don’t puke on u ▪ bc getting one bc probs puking o x ray before use – air bolis is never answer (u do it bc need x ray) o or litmus paper of ph content – both right answer (xray above ph) o don’t wanna pull potassium before giving meds via ng o check redidual volume o stop suction o aspirate stomach ctent and check ph o stomach ph should be under 3.5 safety, infection control, pharm are big on nclex now 300 drugs u need for nclex – get for nlcex on amazon safety o look for rugs, good lighting, pull bar in bathroom, cords o requires intervention login mmeyers71 – password maxims1 – email [email protected] study mode – instant feed back o then content area o fundamental skills trach care, race, math, fighting, electrolytes potassium = heart problem sodium = seizures...