HESI MILESTONE #2 VERSION A AND B LATEST 2023-
2024 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)|AGRADE
VERSION A
What teaching should a nurse conduct to a mother who was just diagnosed w
Engorgement? – ANSWER- sandwich technique :grasp her breast by making a “C”
with her thumb and index finger. The thumb stabilizes the top of the breast while
the remaining four fingers support her breast from below.
Massage or pumping the breast may soften and extend the nipple for easier infant
latch-on.
What should a nurse do if her patient Refuses RhoGam? – ANSWER- Consider
culture
Nurses need to respect whatever the mother’s decision is.
What is 24 Hour Jaundice? What should be taught to mothers who baby’s have
jaundice? – ANSWER- Physiologic jaundice is very common in newborns, with
the majority demonstrating yellowish skin, mucous membranes, and sclera within
the first 3 days of life.
Advise mothers to nurse their infants at least eight to 12 times per day for the first
several days
What are Variable Decelerations? What does it mean? How do we resolve it? –
ANSWER- visually apparent abrupt decreases in FHR below baseline and have an
unpredictable shape on the FHR baseline, possibly demonstrating no consistent
relationship to uterine contractions.
Variable decelerations are associated with cord compression
Turn the client on her left or right lateral, knee-chest, or hands and knees to
increase placental perfusion or relieve cord compression.
What is the Normal Fetal Heart Rate? – ANSWER- 110-160 bpm
What is IUGR? & What are NST Results? – ANSWER- intrauterine growth
restriction
Currently, an NST is recommended twice weekly (after 28 weeks’ gestation) for
clients with diabetes and other high-risk conditions,<\/p>\n\n\n\n
A nonreactive test has been correlated with a higher incidence of fetal distress
during labor, fetal mortality, and IUGR.
Additional testing, such as a biophysical profile, should be considered
What’s the class of Methadone? What’s methadone for? – ANSWER- opioid
Symptoms of opioid withdrawal
Onset could be 2 to 4 days, and the symptoms may take 2 weeks to subside.
treat addiction & withdrawl
Methadone can be used as a replacement for opioids, and the dosage is then
decreased over 2 weeks. Substitution of methadone during detoxification reduces
symptoms to no worse than a mild case of flu
What are the signs a Client is in their Termination Phase? – ANSWER- Abandons
old needs
Aspires to new goals
Becomes independent of helping person
Applies new problem-solving skills
Maintains changes in style of communication and interaction
Shows positive changes in view of self
Integrates illness
Exhibits ability to stand alone
What’s the role of a Nurse during Termination Phase? – ANSWER- Sustains
relationship as long as client feels necessary
Promotes family interaction to assist with goal planning
Teaches preventive measures
Uses community agencies
Teaches self-care
Terminates nurse-client relationship
Maslow – ANSWER- The most basic needs\u2014 met first.
safety and security needs – 2nd level
Love and belonging needs – 3rd
esteem needs – 4th
self-actualization – 5th highest level
Why are Gout patients prescribed Allupurinol – ANSWER- Allopurinol is used to
decrease the about of serum uric acid levels
It is necessary to administer allopurinol after meals to ensure absorption.<\/p>\n\n\n\n
What’s the overall goal of Osteoarthritis pts? How does this relate to Exercise? –
ANSWER- decrease pain and stiffness and to maintain or, mprove joint mobility.
Exercise, especially in the form of cardiovascular aerobic exercise and lower
extremity strength training, has been found to prevent OA progression and
decrease symptoms of OA
Hypertonic Fluids – ANSWER- When normal saline solution or lactated Ringer
solution contains 5% dextrose, the total osmolality exceeds that of the ECF
Saline 3% or 5%
What should the Rn suspect to be prescribed for Treatment of Rheumatoid
Arthritis Pain? – ANSWER- NSAIDs (ibuprofen (Motrin) and naproxen
(Naprosyn))
COX-2 .
What is important to know about Hypothyroidism? – ANSWER- Levothyroxine
(Synthroid): Used to treat hypothyroidism.
People should take levothyroxine in the morning on an empty stomach.
pulse rate prior to administering the drug is more than 100 beats\/min =notify the
prescriber
What’s the Theraputic effect of synthroid – ANSWER- Increased energy
Decreased fatigue
What’s the Broca’s Area control? – ANSWER- Speech
located in a convolution adjoining the middle cerebral artery.
for control of the combinations of muscular movements needed to speak each
word.
What are the Chemo Side Effects? – ANSWER- Nausea
Vomiting
Myelosuppression
SIADH
Cardiac Toxicity
sterility.
Chemotherapy-induced neurotoxicity
Chemo Brain<\/p>\n\n\n\n
Fatigue
What is Expressive Aphasia? – ANSWER- Inability to express oneself
What’s the first step of a pt is Dx with Meningitis? – ANSWER- Broad Spectrum
Antibiotics
What are the sx of – ANSWER- (may not seek health care until he or she
experiences blurred vision or “halos”)
Blurred vision
Halos
difficulty focusing
difficulty adjusting eyes in low lighting
loss of peripheral vision
aching or discomfort around the eyes
headache.
What Assessments should an RN conduct for Guillain Barre syndrome? –
ANSWER- monitored for life-threatening complications (respiratory failure,
cardiac dysrhythmias, VTE [including DVT or PE])
assess the patient’s and family’s ability to cope
Maintain respiratory function
Enhancing physical mobility
Promote adequate nutrition
Improving communication
Decreasing fear and anxiety
Managing potential complications
How does Multiple Sclerosis relate to Urinary Retention? – ANSWER- A
neurogenic bladder results in urinary retention or leakage.
The patient may describe a sensation of bladder fullness or incomplete bladder
emptying. The pharmacological treatment of urinary retention is administration of
a cholinergic agonist
Traction & Assessment
(Blueprint- Fractured Femer Dim Pulses) – ANSWER- After skin traction is
applied, the nurse assesses circulation of the foot within 15 to 30 minutes and then
every 1 to 2 hours. Circulatory assessment consists of:
Peripheral pulses, color, capillary refill, and temperature of the fingers or toes.
<\/p>\n","protected":false},"excerpt":{"rendered":"
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