MILESTONE HESI /HESI MILESTONE 2 VERSION A,B REAL EXAM WITH ACTUAL
QUESTION AND ANSWERS LATEST 2024.
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
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Currently, an NST is recommended twice weekly (after 28 weeks' gestation) for clients with diabetes and other high-risk conditions, 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— met first.safety and security needs - 2nd level Love and belonging needs - 3rd esteem needs - 4th 2 / 4
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.
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.
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What are the Chemo Side Effects? - ANSWER- Nausea Vomiting Myelosuppression SIADH Cardiac Toxicity sterility.Chemotherapy-induced neurotoxicity Chemo Brain 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.
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