{"id":117646,"date":"2023-08-29T16:37:11","date_gmt":"2023-08-29T16:37:11","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117646"},"modified":"2023-08-29T16:37:14","modified_gmt":"2023-08-29T16:37:14","slug":"hesi-milestone-bundle","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/29\/hesi-milestone-bundle\/","title":{"rendered":"HESI MILESTONE Bundle"},"content":{"rendered":"\n

HESI MILESTONE #2 QUESTIONS WITH
CORRECT ANSWERS
-Chemo Side Effects CORRECT ANSWER o Nausea\/vomiting (24-48 hr., can be
delayed up to 1 week)
Meningitis first step CORRECT ANSWER o Antibiotics – penicillin (ampicillin) AND
cephalosporin
o Corticosteroids
Multiple sclerosis and urinary retention CORRECT ANSWER o Sensation of void
heeded immediately (bed pan\/urinal @ bedside)
o Voiding schedule (start 1\/5-2hr then extend)
o Drink specific amt every 2 hour; urinate 30 min after w\/ timer
o Self-catherization
Acute renal failure priority CORRECT ANSWER o Maintain fluids
o Avoid fluid excess
o Renal replacement therapy
o Reduce metabolic rate
o Promote pulmonary function
Acute Respiratory distress priority findings CORRECT ANSWER o Hypoxia
o Intercostal retractions
o Crackles
o BNP levels
(alveoli collapse because small airways are narrowed due to interstitial fluid and
bronchial obstruction)
End of life plan of care CORRECT ANSWER o Signs and symptoms of impending
death are recognized and communicated in developmentally appropriate language for
children and patients with cognitive disabilities with respect to family preference. Care
appropriate to this phase of illness is proved to the patient and the family
Cushing Syndrome CORRECT ANSWER o Can result from corticosteroids
***Attempt to reduce\/taper medication while still treating underlying disease
o Alternate day therapy decrease symptoms and allows adrenal glands to recover
Valve replacement teaching CORRECT ANSWER o Anticoagulant therapy (frequent
follow-up\/lab tests)
\u00a7 Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!<\/p>\n\n\n\n

Cancer intractable pain plan of care CORRECT ANSWER o Pain, other symptoms and
side effects are managed based on the best available evidence, with attention to
disease-specific pain and symptoms, which are skillfully and systematically
applied. ??????
Schizophrenia nursing diagnoses and interventions CORRECT ANSWER – Dx: 2 or
more S&S for over 6 mo (Positive= delusions, hallucinations, disorganized speech or
Negative= 6 A’s Anhedonia, Flat Affect, Apathy, Anergia, Algogia, Avolition)
-Establish rapport and trust, ask about hallucinations, distract, lower environmental
stimuli, monitor suicidal ideation, 1st or 2nd generation antipsych
Grief process therapeutic response CORRECT ANSWER Allow the 5 steps of grieving
(DABDA), active listening and offer a supportive presence
Dementia action refusing ADLs CORRECT ANSWER Encourage finger foods,
distraction, speak therapeutically
Alcohol withdrawal CORRECT ANSWER – Needs to be done under medical supervision
b\/c can be deadly<\/p>\n\n\n\n