Exit HESI V3

prioritized to do list- complete assessment for pt A

urine specific gravity- 1.035- increase fluids
CKD diet- fresh fish, fresh chicken, fresh veggies
CAD admitted for ERS??- delegate to UAP to prepare skin
CA lost 10lbs/ food taste bitter- alt source of protein
TENS with tingling sensation- does sensation feel uncomfortable?
endocrine unit, who to see first?- corticosteroids with disorientation
MATH: 250/200(2)= 1.6
-remove heating pad, place soft blanket over legs
-birth is eminent!!
-last period 7 weeks ago
-all pulmonary lung fields Heimlich maneuver
MATH: heparin 80 units/220 lbs answer is 8!!
-weigh every morning
burns- 36%
-offer clients fluids
-check distended bladder
-demonstrate how to palpate popliteal pulse with client supine, and knees flexed
acute pancreatitis- withhold food and fluid intake
-positive mantoux positive for AFB
-daily caloric intake
-abdominal-perineal resection 2 days ago no drainage on dressing, fever chills
-chest discomfort one hour after consuming large spicy meal
-assist in identifying goal
ODER: Assess skin, Evaluate, Assign, Contact
-face clients, provide daughter with written instructions, include family with the discharge
teaching
-request mother leave room
-administer albuterol inhaler
-long distance runner
-divide into 2 injections under 1ml
-explain why using non-narcotics
-full bladder
-eat small meals to avoid full stomach
-use water soluble lubricant over nasal mucosa
-irregular heart rhythm
-does your pain occur when you walk short distances?
-examine genitals last
-instruct how much fluid a child should drink
-ondosteron after flushing saline lock with saline
-notify doctor to prepare pericardiocentesis
4 day old infant bilirubin 19- reposition q2hrs
-MODS
-as a routine part of each health care encounter

-delegate care of crying client to UAP

-evaluate new UAP level of competency
-Hematocrit 28%
-O2, bilateral lung fields, reinforce dressing
-muscle pain
-send family to waiting area
PIC: tip of cast (toes)
-one day post op- 5 days bed rest
-suction infant
-blood glucose vitals, LOC
-clarify end of life desires
MATH: 154lb ptanswer is 7!!
-short simple explanation
-listen to music, audio books
-insensible loss of body fluids
-Cefazoline 1 gram
-corticosteroid, oral histamine
-turn client lateral position
-explain memory loss is normal B12 deficiencies
-observe aspiration site
-offer influenza shot
-initiate hearing and vision screen
-Lisopril & Acetaminophen
-request culture and sensitivity
-encourage popsicles
-reposition infant q2hrs
-check blood glucose
-discuss small, low fat sugar meal prep teach
-knot be quickly released
-measure area of swelling and crackling
-assessment of client A
-rubber bottom portion chamber
-can be provided information about cancer risk
-palpate superpubic
-notify doctor of vomiting
-finger stick, proper foot care, carbohydrate, teach
-anticholinerics and antihypertensive
MATH: potassium chlorideanswer is 125!!