Hesi Helpful Hints
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birenbirenpatHesi Helpful Hints
Uploaded by
birenbirenpatHesi Helpful Hints
Diabetes self management program
Enables clients to become more active participants in controlling the disease
process
Patient with saline lock wants to shower
Tape a plastic bag over the IV site
Picc line- what to assess
Observe antecubital fossa for inflammation
Postmenauposal- assess thyroid function
Patient will have cold sensitivity
Cerebral palsy- pathophysiology
Brain damage not progressive but have variable course
Ventricular fibrillation- 1st action
Defribilate with one shock
IV site tenderness- needs intervention if there is
Red streak tracking the vein
Native American- spiritual
Participates actively in all treatment regimen
Radiation therapy- breast cancer
Gently pat the skin dry after rinsing with water
Improper inhaler use
Patient states “after I squeeze the inhaler and swallow, I always feel a slight
wave of nausea”
HIV- readiness for medication for asymptomatic patient
Patient is willing to comply with complex drug schedules
Hospitalized adolescent- demands mom to stay with her
Explain to the mom that she is probably feeling insecure
Emergency room nurse transferred to OB. What assignment to give her
Mother with infected episiotomy
Acute pancreatitis history – patient will state
They drink alcohol until intoxicated
Patient needing kidney transplant says he found a kidney online
Advise patient that it is a criminal offense to buy organs online
CVA Patient- needs speech therapy referral if
They have persistent coughing while drinking
Patient to assess 1st
Bowel obstruction due to volvulus that is experiencing abdominal rigidity
Osteoarthritis – pathophysiology
Destruction of joint cartilage
Know that a primary line hangs lower than the secondary line. This is a picture question
and you will have to click on the tube of the primary line
Last opportunity for a near-miss medication error
When determining patient identity at bedside
Saline lock- sodium is 150 with distended neck veins
Monitor for bilateral lung sounds
Chest tube detached
Prepare a new water seal system and reattach the chest tube
PCA Pump- morphine
Make sure to initiate the dosage lockout mechanism
Prominent U waves- select all that apply
Assess for ST depression
Get 12 lead
Check current potassium
Emergency room- coughing with fever in the last 24 hours. What to do first
Place a mask on patient face
Audio Question is S1 and S2. Know normal heart sounds.
TB Patient who needs a private room but there is patient in the only private room.
Intervention is to move the patient that is in that room and give it to the TB patient
because the TB patient needs to be in an isolated private room
Histamine 2 receptor- how it works
Decreases amount of HCL secretions by the parietal cells in the stomach
Diabetic screening for patients who are not at risk
Primary prevention
Aluminum hydroxide
Notify health care provider if patient is also taking allopurinol (zyloprim)
Antibiotic given in 4 divided doses. When to give
1000, 1600, 2200, 0400 (around the clock)
Be familiar with the dorsal plantar flexion. This is when the foot goes up and down while
the patient is laying down. Heel does not lift from the bed; just the foot bending up and
down. This is a picture question and it will ask you the picture to show the dorsal plantar
flexion.
Vasopressin
Monitor for chest pain and dysrhythmia
Heparin therapy
Observe urine for hematuria
High protein diet
Tuna fish with chips and ice cream
Antihistamines treat: (select all that apply)
Allergic rhinitis
Contact dermatitis
Patient that can transfer to medical unit
Chronic liver failure with Hgb of 10
Cystic Fibrosis-
25% chance that a child will get this if parents are carriers
Depressed patient who won’t communicate
Encourage in non-threatening conversations
Delegate to LPN
Had a laparoscopic cholecystectomy the previous day
Risk for cervical cancer
History of unprotected sex with multiple partners
Taking blood pressure- contradiction
Lymphedema in both arms
“flea bite” type of rash in newborn
Common newborn rash, will disappear after several days
DKA patient who experiences increased thirst
Tell them to give themselves a dose of regular insulin
Gastric endoscopy-
Post-procedure patients’ most common complaint is a sore throat
Mitral stenosis at 28 weeks gestation
Investigate if patient has persistent cough
An LPN can be delegated an assignment that includes wound care for a patient with stage
4 ulcer
Antisocial personality disorder will have history of
Multiple convictions for misdemeanors and class B felonies
Anxiety- expected outcome
Patient will use coping mechanisms effectively
Increased laxative use in elderly
Will have increased magnesium
Hypoparathyroidism-
Patient will have increased levels of calcium
Mental health patient who is suicidal
Intervention is to have them sign a no self harm contract
Patient with enlarged pancreas
Do not palpate
Tetracyclines
Take on empty stomach or 2 hours after meals
Guillain-barre syndrome. Important to monitor
2-3 weeks after patient experiences infection
Schizophrenia patient sitting in corner talking to himself
Approach the patient and ask if he/she is hearing voices
The only fluid compatible with blood products is normal saline
Gagging in newborn is normal
Know normal PT and INR levels. There is a question where it is asking for which lab
needs intervention
Evaluation of gestational trophoblastic disease
Make sure patient stays on contraceptive for 1 year (it is important to educate
women who experience this that they cannot get pregnant for 1 year after. Use
contraceptive!)
Trazodone
Used to improve sleep
Pylenophritis-
Assess for increased temperature
Positive fern test means
Water is broken and patient is in labor
Septic shock-
Will have peripheral vasodilation
Tube feeding for 2 month old
Hold baby with head slightly elevated and supported
Psoriasis- show acceptance by
Shaking patient hand (because psoriasis is not contagious!)
HHNS-
Decrease in serum potassium
Depressed patient who suddenly starts acting happier and talking more needs to be
closely monitored! It means they are at higher risk for suicide
Crohn disease
Diarrhea
Abd pain
Weight loss
Dialysis patient-
Do not give blood pressure medications when the patient is receiving dialysis!
Low Sodium diet-
Pick the diet with the baked chicken
Know the proper way to get a urine sample from a catheter
Hyperparathyroidism
Increase calcium levels
Celiac disease
No gluten
There are a few priority questions- know that the nursing process cannot be delegated to
the LPN! This includes receiving report for a new admission. RN must receive the report,
not the LPN.
