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HESI PN COMPREHENSIVE EXIT EXAM
VERSION 5
Kawasaki Disease intervention- monitor cardiac rhythm Know McBurney’s Point for appendicitis HOT SPOT- RIGHT side of abdomen Donepezil and Memantine for Alzheimer’s- to slow down progression of disease Clozapine- Agranulocytosis Omeprazole long term side effect- Osteoporosis Omeprazole teaching effectiveness- take 30 mins before meal Priority- Thyroidectomy with feeling of lump in back of throat Priority- Thyroidectomy with stuporous Priority- Abdominal pain with coffee ground emesis
Exhibit question: Patient on Heparin- apt 100 seconds- Hold/DC Heparin
Simvastatin adverse effect- muscle weakness Ferrous sulfate given to a school age child- give with OJ Lab to determine nutritional status- Serum Albumin Wound care specialist recommended for a stage 4 pressure ulcer. Which finding would necessitate change in plan of care…? Client weight lost (5 lbs) Pregnant woman asking for risk factor for DM- BMI of 28 How to dispose syringes- use aluminum can, secure and put in high area Vaso-occlusive crisis interventions- Start IV fluid replacement Patient with peripheral inserted central catheter care- measure arm with above the insertion Patient post gastric bypass intervention- measure abdominal girth daily Characteristic of anti-social personality- lack of remorse Older client with difficulty swallowing, refer to- Speech Therapist Enoxaparin (Lovenox)- Platelet 90,000 Client who can’t afford medication, refer to- Social Worker C-Diff patient client care- Wear gown when giving care Caring for a client with implanted radiation device- Wear a dorsimeter badge Client 12 weeks gestation, how to listen to fetal heart tone- put Doppler by
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