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HESI HINTS MEDSURGE NOTE BOOK

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HESI HINTS MEDSURGE NOTE BOOK

Hints for HIV, Medical Surgical, Gastrointestinal system, Endocrine system, Musculoskeletal system, Neurosensory system, Reproductive system, Pneumonia, Hematology & oncology and Burns

 

HIV HESI HITS

 

HESI Hint • HIV clients with tuberculosis require respiratory isolation. Tuberculosis is the only real risk to no pregnant caregivers that is not related to a break in standard precautions (e.g., needle sticks).

 

HESI Hint • An individual exposed to HIV may remain asymptomatic for many years dependent on various factors and if he or she is actively under a medical regimen of antiretroviral therapy (ART). The stages of HIV infection are presented in Figure 3-9.

Clients usually are not admitted to the hospital for treatment until their HIV status has progressed to an “AIDS” diagnosis.

 

HESI Hint • Standard Precautions

• Wash hands, even if gloves have been worn to give care.

• Wear examination gloves for touching blood or body fluids or any nonintact body surface.

• Wear gowns during any procedure that might generate splashes (e.g., changing clients with diarrhea).

• Use masks and eye protection during activity that might disperse droplets (e.g., suctioning).

• Do not recap needles; dispose of in punctureresistant containers.

• Use mouthpiece for resuscitation efforts.

 

HESI Hint • It is recommended that caregivers who are pregnant not provide care for a client with cytomegalovirus (CMV) because fetal exposure to CMV can be detrimental to a developing fetus.

 

HESI Hint • Pediatric HIV is often evidenced by lymphoid interstitial pneumonitis, pulmonary lymphoid hyperplasia, and opportunistic infections.

 

HESI Hint • The focus of NCLEX-RN questions is likely to be assessment of early signs of the disease and management of complications associated with HIV.

 

HESI Hint • For narcotic-induced respiratory depression, naloxone may be administered as prescribed by the health care provider.

 

HESI Hint • Use noninvasive methods for pain management when possible:

 

Relaxation exercises Distraction Imagery Biofeedback Interpersonal skills Physical care: altering positions, touch, hot and cold applications

 

HESI Hint • Narcotic analgesics are preferred for pain relief because they bind to the various opiate receptor sites in the CNS. Morphine is often thepreferred narcotic (remember, it causes respiratory depression).

Another agonist is methadone. Narcotic antagonists block the attachment of narcotics such as naloxone to the receptors. Once naloxone has been given, additional narcotics cannot be given until the naloxone effects have passed.

 

MEDICAL SURGICAL HESI HINTS

HESI Hint • Safety is a priority with all clients. Ascertain the use of complementary therapies by addressing contraindications and side effects. Safety includes safe handoff, interprofessional communication, fall prevention, assessing, and reporting changes in condition, as well as responses to treatments and medications.

 

HESI Hint • Therapeutic communication is necessary to elicit important information from clients and their families in all nursing interventions and settings. It is important in crisis intervention to ascertain cultural awareness/cultural influences on health; to note and address religious and spiritual influences on health; to assess family dynamics; and to detect sensory alterations, such as hearing loss or speech deficits.

 

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