Exit HESI 3 160 Questions And Answers 2022
pt is experiencing hyperkalemia - in absence of symptoms and EKG changes it is
sufficiency to - ANS- switch
... [Show More] captopril (an ACE inhibitor that promote K retention) to
another (non-K sparing) htn drug such as amlodipine
pt is experiencing diplopia, dysphagia, descending muscle weakness and diarrhea
and is dianosed w botulism what should nurse tell pts spouse? - ANS- throw out all
of your home canned foods. neurotoxin are typically found in home canned foods.
premature atrial contractions - ANS- momentary interruption of atrial rhythm (can be
caused by stress, caffeine, drugs)
-tx if beta-blocker!!! not life-threatening, cannot change dose of prescribed med,
fluxetine (prozax) - ANS- antidepressant SSRI's -> first few weeks of SSRI tx the risk
of self-harm and suicide is increased.
normal PR interval - ANS- 0.12-0.20 seconds
a thrombocyte count of 60,000 is - ANS- severely decreased (norm 150k-400k) and
could mean that the pt is developing probs w coagulation in addition to the existing
pancreatitis and ARDS, MODS is the most severe manifestation of sepsis and
occurs when 2 organ systems become dysfunctional and require intervention to
maintain homeostasis.
-elevated WBC and crackles over both lungs is expected with ARDS
LaVeen Shunt - ANS- plastic tube that passes from the jugular vein to the peritoneal
cavity where a valve permits absorption of ascitic fluid to be carried back to venous
circulation by the way of the superior vena cava.
irregular heartbeat in newborns? - ANS- common, normal finding.
Frontal Lobe (glioma) - ANS- frontal lobe controls personality and speech,
personality changes and expressive aphasia are expected manifestations from tumor
Parkland Burn Formula - ANS- 4mL x body weight (kg) x percentage of body
surface= total fluid requirement in mL for 24 hours
half to be given in 1st 8 hours, 1/4 in second 8 hours and 1/4 in last 8 hours...
patient's bill of rights include - ANS- - Right to the least restrictive environment
- Right to treatment
- Right to refuse treatment
- Right to have access to medical records
- Access to telephone, mail, visitors, privacy, TV
type 2 DM is prescribed daily insulin injections however has limited manual dexterity
- ANS- for a reduction in manual dexterity, an insulin pen would ensure that the pt is
compliant w daily insulin injections bc insulin pens are easier to handle than
syringes.
inhaled corticosteroids are often prescribed for asthma tx. steroids reduce - ANSinflammaton and swelling in airways, thereby improving air movement in lungs. an
indication of effectiveness is an improvement in peak flow meter rates on pulmonary
function testing. if the pts peak flow meter rates have remained unchanged after 3
months of steroid use, the current medication does is ineffective and needs to be
adjusted.
WIC program - ANS- a special supplemental food program for women, infants, and
children, sponsored by the USDA; directed at low income pregnant and/or
breastfeeding women, infants, and children under age 5.
-include supplementation of nutritious foods and education. (dental caries in children)
-also screens for immunization status of the participating students
PD pts are at risk for excessive - ANS- protein loss, which manifests as weight loss,
decreasing muscle mass, and peripheral edema.
-albumin levels should be monitored regularly to ensure that pt's protein levels
remain within normal range.
-PD - RISK FOR HYPERGLYCEMIA due to the dialysate contains dextrose.
Enalapril Maleate (Vasotec) - ANS- has a common side effect of male impotence
Enalapril MALEate (Vasotec) - ANS- has a common side effect of male impotence
paint thinner (Toluene) - ANS- can cause hearing loss!!! testing done to detect any
changes in hearing
pt receiving tx in a mental health facility becomes agitated and begins to act
inappropriately in the pt lounge. which action should nurse take? - ANS- excessive
noise or sound can be viewed as a threat by pts with psychiatric conditions. when
the nurse observes that one of the pt's is becoming agitated, the best first action is to
turn off the stereo to reduce environmental stimuli. if the pt's agitation does not
recede, the nurse should then escort the pt to a quiet room to de-escalate behavior
Dawn phenomenon - ANS- is the end result of a combination of natural body
changes that occur during the sleep cycle. between hours 3a-8a, the body increases
the amounts of counter-regulatory hormones that stop the action of insulin to lower
blood glucose levels. the increased release of these hormones, at a time when
bedtime insulin is wearing out, results in increase in blood sugars. this causes blood
glucose to rise in the morning. the bedtime dose of insulin is prescribed to counter
the effects of dawn phenomenon
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