HESI 302 HESI HINTS and NCLEX Gems HESI Review Chamberlain College of Nursing

HESI 302 HESI HINTS and NCLEX Gems HESI ReviewChamberlain College of Nursing
o Maslow’sHierarchy ofNeeds
• Physiologic
• Safety
• Love andBelonging
• Esteem
• Self-actualization
o Nursing Process
• Assessment
• Diagnosis(Analysis)
• Planning
• Implementation (treatment)
• Evaluation
o ABCs
• Airway
• Breathing
• Circulation
• Normal Values
o Hgb
• Males 14-18
• Females 12-16
o Hct
• Males 42-52
• Females 37-47
o RBCs
• Males 4.7-6.1million
• Females 4.2-5.4million
o WBCs 4.5-11k
o Platelets 150-400k
o PT(Coumadin/Warfarin) 11-12.5sec (INRandPT TR= 1.5-2times normal)
o APTT (Heparin) 60-70 sec (APTT and PTT TR = 1.5-2.5 times normal)
o BUN 10-20
o Creatinine 0.5-1.2
o Glucose 70-110
o Cholesterol < 200
o BilirubinNewborn 1-12
o Phenylalanine Newborn< 2,Adult < 6
o Na+ 136-145
o K+ 3.5-5
• HypoK+.... ProminentU waves,DepressedST segment, Flat Twaves
• HyperK+.... TallT-Waves,ProlongedPRinterval,wideQRS
o Ca++ 9-10.5
• Hypocalcemia…muscle spasms, convulsions, cramps/tetany,+ Trousseau’s,+
Chvostek’s, prolongedSTinterval,prolongedQT segment
HESI 302 HESI HINTS and NCLEX Gems HESI ReviewChamberlain College of Nursing
o Mg+ 1.5-2.5
o Cl- 96-106
o Phos 3-4.5
o Albumin 3.5-5
o SpecGravity 1.005-1.030
o GlycosylatedHemoglobin (Hgb A1c): 4-6% ideal,< 7.5% =OK (120 days)
o DilantinTR = 10-20
o Lithium TR= 0.5-1.5
o Arterial BloodGases…Used forAcidosis vs.Alkalosis
• PH 7.35-7.45
• CO2 35-45 (Respiratory driver)…High =Acidosis
• HCO3 21-28(Metabolic driver)…High=Alkalosis
• O2 80-100
•
• Antidotes
O2 Sat 95-100%
o Digoxin…Digiband
o Coumadin…VitaminK (KeepPT and INR @1-1.5 X normal)
o Benzodiazapines…Flumzaemil (Tomazicon)
o MagnesiumSulfate…CalciumGluconate?
o Heparin…Protamine Sulfate (KeepAPTT andPTT@ 1.5-2.5X normal)
o Tylenol…Mucomist(17doses + loading dose)
o Opiates(narcotic analgesics, heroin,morphine)…Narcan(Naloxone)
o Cholinergic Meds(MyesthenicBradycardia)…Atropine
o Methotrexate…Leucovorin
• Delegation
o RNOnly
• BloodProducts(2RNsmust check)
• Clotting Factors
• Sterile dressing changes andprocedures
• Assessmentsthatrequire clinical judgment
• Ultimately responsible for all delegated duties
o Unlicensed Assistive Personnel
• Non-sterile procedures
• Precautions&RoomAssignments
o Universal(Standard) Precautions…HIVinitiated
• Wash hands
• Wear Gloves
• Gownsforsplashes
• Masks andEye Protectionforsplashes anddroplets
• Don’trecapneedles
• Mouthpiece orAmbu-bag forresuscitation
• Refrainfromgiving care if you have skin lesion
o Droplet(Respiratory) Precautions(WearMask)
• Sepsis, Scarlet Fever, Strep, FifthDisease (ParvoB19),Pertussis,Pneumonia,Influenza,
Diptheria,Epiglottitis,Rubella, Rubeola,Meningitis,Mycoplasma,Adenovirus, Rhinovirus

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