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Hesi Milestone Exam 1Progression Best Study Guide 2025 Graded A+.pdf, Exams of Nursing

University of West London (UWL)Nursing

Hesi Milestone Exam 1Progression Best Study Guide 2025 Graded A+.pdf

Typology: Exams

2024/2025

Available from 07/15/2025

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Hesi Milestone Exam 1Progression
Best Study Guide 2024 Graded A+
Hesi Milestone Exam 1Progression
Best Study Guide 2024-2025 Graded
A+
Catheter - check for kinks -
Could cause infection and distension in the bladder
Painful
Eye drop admin -
-Lay supine unless contraindicated
-Wash away crust
-Cotton ball on check
-Instill drops into the conjunctival sac
-Repeat if missed or patient blinks
- Wait 5 minutes to administer a different medication
Allergic reaction -
Immune response type 1= swollen face or body part type 2=anaphylaxis
• depends on immune system not drug amount in system
• Patient's sensitivity to a drug can change over time
• Very few drugs cause severe allergic reactions
• Penicillin's are the most common
• Allergies may also be induced by sulfonamides
• Epi=anaphylaxis Benadryl=Mild
Tylenol
Lab check -
Checking for liver function and amount in system as some drugs may
have more positive or negative effect
-liver
-serum creatinine
-urinalysis
-lactic acid level
-arterial blood gas
-venous blood gas
-In order to provide additional mediation
Insulin Regular -
-short acting insulin
-Peak 1-5 hours
Isoniazid used for TB -
pf3
pf4
pf5
pf8
pf9
pfa

Partial preview of the text

Download Hesi Milestone Exam 1Progression Best Study Guide 2025 Graded A+.pdf and more Exams Nursing in PDF only on Docsity!

Best Study Guide 202 4 Graded A+

Hesi Milestone Exam 1Progression

Best Study Guide 2024 - 2025 Graded

A+

Catheter - check for kinks - Could cause infection and distension in the bladder Painful Eye drop admin -

  • Lay supine unless contraindicated
  • Wash away crust
  • Cotton ball on check
  • Instill drops into the conjunctival sac
  • Repeat if missed or patient blinks
  • Wait 5 minutes to administer a different medication Allergic reaction - Immune response type 1= swollen face or body part type 2=anaphylaxis
  • depends on immune system not drug amount in system
  • Patient's sensitivity to a drug can change over time
  • Very few drugs cause severe allergic reactions
  • Penicillin's are the most common
  • Allergies may also be induced by sulfonamides
  • Epi=anaphylaxis Benadryl=Mild Tylenol Lab check - Checking for liver function and amount in system as some drugs may have more positive or negative effect
  • liver
  • serum creatinine
  • urinalysis
  • lactic acid level
  • arterial blood gas
  • venous blood gas
  • In order to provide additional mediation Insulin Regular -
  • short acting insulin
  • Peak 1-5 hours Isoniazid used for TB -

Best Study Guide 202 4 Graded A+

Can not have tyramine: beers on tap or home-brewed cured or smoked meats or fish, sausage or salami strong or aged cheeses pickled products Antacids - With kidney failure antacids are unable to be excreted Furosemide (Lasix) - Furosemide can produce excessive loss of sodium, chloride, and water. Dehydration can promote hypotension, thrombosis, and embolism. Hypotension, Hypokalemia (because of excessive urination). Ototoxicity (rarely). Hyperglycemia. Hyperuricemia. Teach Tetracycline - discolor developing teeth pregnant, breastfeeding- Teragen Bone abnormality photosensitivity renal toxicity Take all medication Avoid milk or antacids Thyroid overdose signs - Thyrotoxicosis

  • tachycardia
  • angina
  • tremor
  • nervousness
  • insomnia
  • hyperthermia
  • heat intolerance
  • sweating Teach Metronidazole - Urine color change Metallic taste Hand Hygiene Empty stomach Allergic reaction Steroids discontinue protocol - Glucocorticoids taken chronically must be withdrawn gradually. Warn the patient against abrupt discontinuation of treatment. Adrenals need time to start working again

Best Study Guide 202 4 Graded A+

Disease process Laying to sitting and gather bearings Assess for lightheadedness, tingling or numbness Wheelchair transfer Post Stroke - Can use at least one leg has strength. Start on strong side. Use gait belt Wheelchair safety - Breaks on foot rest up when getting in foot rest down while in that patient can sit up without assistance Restraints - Check every 15 min, remember hydration, nutrition, and elimination. Asses skin Do not attach to side rails Must has a Dr. order after 24 Saline flush - ·Mixture of salt and water (usually 0.9% NS) Used to push any residual medication or fluids through an IV to ensure patency WARM Saline before administering for patient comfort Braden interpretation - Low the score higher the risk o Sensory Perception (1-4) o Moisture (1-4) o Activity Level (1-4) o Mobility (1-4) o Nutrition (1-4) o Friction and Shear (1-3) o 19-23 No risk o 15-18 Low Risk o 13-14 Moderate Risk o 10-12 High risk <9 Very high Risk Nutrition assessment Labs - Albumin 3.4 to 5.4 (mg/dL)and Prealbumin 15 to 36 (mg/dL) Cranial nerves Geri - · CN I (Olfactory) - sense of smell decreases with aging

Best Study Guide 202 4 Graded A+

· CN II (Optic) - visual acuity decreases with age · CN VII (Facial) - taste sensation decreases with aging · CN VIII (Vestibulocochlear) - hearing sense decreases with aging · CN XI (Spinal Accessory) - Muscle tone/strength decreases with aging Start with baseline CT‐diarrhea‐action - Sodium in the dye will take H2O with it causing diarrhea. Possible toxicity Pressure ulcer Infection - o Erythema o Swelling o Heat o Purulent drainage o Fever o Smell o Excessive drainage ACE inhibitor Hyperkalemia - Hyperkalemia = Inhibition of aldosterone release can cause potassium retention Sucralfate NGT administration - Sucralfate doesn't dissolve easily in water. Use water-sorbitol suspension Still flush after medication Leukotrienes · Bronchodilator for asthma Teaching - o Take medication even if asymptomatic o Is NOT a treatment for acute asthma exacerbation Methadone - · Avoid grapefruit juice. Used to combat other opioid addictions · Regular EKGs will be needed. Before start, 30 days later, and annually after. Avoid alcohol. BP - o Lie down resting for 2 min before obtaining baseline BP o Change to sitting, rest for 1-2 min o Standing, rest for 1-2 min Key indicators: Drop in SBP of 15 mm Hg or greater, drop in DBP of 10 mm Hg or greater, or increased heart rate. Means Hypertension or Hypotension

Best Study Guide 202 4 Graded A+

  • Bruit is a swishing noise.
    • Lightly apply bell over the three areas Perianal Assessment -
    • must be standing
  • Inspect exterior anus: Look for hemorrhoids, fissures, and fistulas
  • Inspect internal anus: lesions, warts, tags, hemorrhoids, fissures, or fistulas
  • anal ring feels smooth without nodules, masses, or irregularities Wound irrigation fluid -
    • Sterile 0.9 sodium chloride (normal saline) (most common)
  • Sterile water
  • Commercial Wound Cleanser
  • Antiseptic wash or surfactants
  • Antibiotic wash Muscle atrophy Assess -
    • Assess bilateral Possible causes: stroke injury aging burns cast sedentary/bedridden Allergic reaction Interview - What type of reaction compare with EMR When did the first reaction take place Environmental, food, medication Menopause Health history -
    • Age 50- 52
  • 12 consecutive month without a mensuration
  • Age of first period and last day of last period.
  • History of abnormal paps or cancer
  • Family history Symptoms: fatigue, night sweats, osteoporosis, hot flashes, or sweating, insomnia Menorrhagia -
    • Abnormal heavy menstrual bleeding that lasts more than 7 days
  • Passing clots larger than a quarter

Best Study Guide 202 4 Graded A+

  • Causes anemia Infection control Biohazard -
    • Liquid or semiliquid blood
  • Place in Red Biobag
  • Always wear gloves Nasopharyngeal suction Assess -
    • Visible secretions
  • Auscultation of gurgling sounds in the chest
  • Patient reporting feelings of secretions that they are unable to excrete
  • Unrelieved coughing Bronchial breath sounds -
    • Loud and high pitched and found over the trachea and larynx
  • Can be either coarse or harsh Assessed more for expiration as its longer than inspiration Ca channel blocker Overdose Side Effects - No muscle contraction of the heart due to relaxation HF Edema Dysrhythmia Bradycardia Assess leg - Circulation Color Edema pitting Temperature Skin texture Cap refill Pulse(Dorsalis, Tibial, Popliteal, Femoral) Abdominal Inspection & Palpation - Inspection: Color, Shape, Visible abnormalities, Palpation: Start RL, RU, LU, LL
  • Light then Deep
  • Pain/Guarding Cardiac Percussion -
    • Percuss medial aspect of 4th, 5th and 6th intercostal space

Best Study Guide 202 4 Graded A+

Placebo admin - Used in Clinical trial usage Pill has no effect physically but patient report signs Power of attorney - ·Power of attorney designates a person to make financial and health related decisions for a client. Cannot go against previous wishes Document placed in EMR Nursing process Outcome statement - Part of Evaluation of ADPIE Statement that clarifies goal set Seizures Health history documentation - Duration Onset Length Medication Family history Medical history Peripheral Paresthesia Document - PQRST Medical history Medication Benzodiazepines Pregnancy -

  • category D
  • contraindicated except in the RARE case that the benefits outweigh the risks
  • potential to cause oral cleft defects, preterm delivery, fetal growth restriction, "floppy baby syndrome", withdrawal up to 3 months
  • long term effects on child and adult development is unknown
  • safer alternatives are available Sensory History - PQRST Medical history Medication Brain Injury The name of different test Orientation - · Alert and Oriented x 4 (A&Ox4)

Best Study Guide 202 4 Graded A+

o Person (Can you tell me your name) o Time (What day is it?) o Place (Do you know where you are) o Situation (Do you know why you are here?) End of Life DNR - · DNR is a written order to prevent CPR in case of cardio/pulmonary failure. · Must be properly filled out and notated to be enforceable DNR must be identified (usually a purple armband) Mastectomy Grief - Body image issues Appeared lose of womanhood Encourage patient to talk about feelings and not to tell them how to feel NSAIDs Plan Of Care - o Monitor vitals signs. o Monitor for pallor or dizziness, indicates bleeding o Monitor for signs of GI Bleed o Monitor CBC for signs of anemia o Assess on regular basis OPQRST of client pain o Monitor urine output/kidney function o Monitor for sensory changes such as tinnitus or blurred vision high flow cannula range - max flow 60 L/min 10L/min = 65% 15L/min = 90% low flow cannula range - 1 - 2L/min = 24-28% 3 - 5L/min = 32-42% 6L/min = 44% max 6 L Respiration - Co2 triggers the lungs to inhale - the diaphragm contracts and pulls the lungs down allow them to expand and fill with air; chest pressure inc - expiration is passive the lungs deflate after gas has been exchanged and the diaphragm relaxes and rises back to original position Carbamazepine admin -