Adult Care 1 HESI Latest 2023 Rated A

Adult Care 1 HESI Latest 2023 Rated A+

Fluid and Electrolyte Balance ✔✔Sodium: 135-145

Chloride: 98-107

**Potassium: 3.5-5.0

Calcium: 8.6-10.2

Phosphate: 2.7-4.5

Magnesium: 1.5-2.5

Albumin: 3.5-5.0

common food sources of potassium ✔✔avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal, raisins, spinach, strawberries, and tomatoes.

Signs of hypocalcemia ✔✔paresthesias followed by numbness, hyperactive deep tendon reflexes, and a positive Trousseau's or Chvostek's sign, increased neuromuscular excitability, muscle cramps, twitching, tetany, seizures, irritability, and anxiety, increased gastric motility, hyperactive bowel sounds, abdominal cramping, and diarrhea, prolonged QT interval and prolonged ST segment

hypercalcemia ✔✔shortened ST segment and a widened T wave

hyponatremia ✔✔Hyperactive bowel sounds, flat neck veins, diminished deep tendon reflexes, muscle weakness, increased urinary output, and decreased specific gravity

hypernatremia ✔✔Muscle twitches, Decreased urinary output, increased specific gravity of the urine

hypermagnesemia ✔✔drowsiness, sedation, lethargy, respiratory depression, muscle weakness, and areflexia.

low levels of albumin cause ✔✔edema! And drug toxicity if drug requires albumin to bind!

• Rights of delegation ✔✔-Right Task: can be delegated, normally repetitive and requires little

supervision and is predictable

-Right Circumstance: right setting and environment

-Right Person: 3 implications: right person delegating right task to right person to be performed to right person

-Right Direction: communication, clear concise description of task

-Right Supervision: monitor task, give evaluation

essential steps of effective supervision ✔✔direction, evaluation, and follow-up

SBAR ✔✔Situation Background Assessment Recommendation

• Rights of Medication ✔✔Right Patient

Right Medication Right Dose Right Route Right Time Right Documentation ...also right evaluation & always assess after giving meds

hemoglobin ✔✔male 14-18 g/dL

female 12-16 g/dL pregnant >11 g/dL

hematocrit ✔✔male 42-52?male 37-47% pregnant >33%

RBCs ✔✔male 4.7-6.1 mil/mm3 female 4.2-5.4 mil/mm3

WBCs ✔✔5-10 thousand/mm3

platelets ✔✔150-400 thousand/mm3

BUN ✔✔5-18 mg/dL

Creatinine ✔✔male 0.6-1.2 female 0.5-1.1