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Hesi Study > Random > Flashcards

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1
Q

Where should the weights be for clients who have tractions?

A

Off the floor free hanging

Knots need to be kept away from the pulleys

Weights should not be kept resting on firm surfaces

HOB is kept low to provide countertraction

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2
Q

Which medication should be expected to be prescribed for patients with severe hypoglycemia and in coma?

A

Glucagon

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3
Q

If the nurse notes blood or fluid coming from nose after head injury what is priority intervention?

A

Contact HCP bc this could indicate a cerebrospinal fluid leak

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4
Q

What to do with patient who has detached retina

A

Place eye patch over affected eye
Reading and watching tv are NOT allowed
Usually prescribed to lie flat-not elevated

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5
Q

After hypophysectomy what is a possible complications post op?

A

Temporary diabetes insipid is due to antidiureti hormone deficiency.

Nurse needs to assess urine specific gravity and notify HCP If result is less that 1.005.

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6
Q

Higher oxygen flow rates in COPD pt is contra indicated bc…

A

It causes a decrease in the clients oxygen based resp drive

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7
Q

Altered production of cortisol indicates a difficulty with synthesis of

A

Glucocorticoids

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8
Q

Signs of hypoglycemia

A

Shakiness palpitations and light headedness

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9
Q

A client returning from surgery for a pulmonary lobectomy needs what pieces of equipment at the bedside

A

Clamp
Vaseline gauze
Suction equipment

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10
Q

Signs of spinal shock

A

Flaccid paralysis

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11
Q

Cbc labs would indicate what for SLE patients

A

Decrease in numbers of all cell types

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12
Q

First 6 weeks after cardiac surgery what should be taught to pt in discharge

A

Use arms for balance not weight support
Do not lift anything heavier than 5 lbs
Do not drive
Do not do activities that involve straining

These are due to allowing time (6 weeks) for the sternum to heal

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13
Q

If patient in traction complains of severe pain the nurses priority action is to what?

A

Call HCP

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14
Q

Early signs and symptoms of hungingtons disease

A 
Restlessness
Forgetfulness
Clumsiness
Falling
Balance and coordination issues
Altered speech and hand writing

Later stages: difficulty swallowing

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15
Q

Most important post op teaching for client who underwent transsphenoidal hypophysectomy

A

Do not brush teeth for at least two weeks after surgery

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16
Q

Interventions for patient allergic to latex

A

Use non latex gloves
Use medications from glass ampules
Keep a latex safe supply cart in room
Avoid use of medication vials that have rubber stoppers

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17
Q

Which lab value indicates MI

A

Cardiac troponin

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18
Q

What should nurse do if someone’s eye is bleeding

A

Cover eye with cold sterile saline gauze

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19
Q

Early symptoms of cataract

A

Blurred vision and decrease in color perception

20
Q

Fractured hip is expected if the injured leg is in this position

A

Shortened and externally rotated

21
Q

Lab results for intrinsic renal failure

A

Fixed specific gravity and urine test that is positive for proteinuria

22
Q

Lab results for prerenal failure

A

Specific gravity is high and there is little to no proteinuria

23
Q

Lab results for post renal failure

A

Fixed specific gravity and little to no proteinuria

24
Q

Transcutaneous electrical nerve stimulation TENS does what

A

Portable unit (hospitalization not required)
System allows client to relieve pain and reduce the need for analgesics
It is attached to the skin by electrodes

25
Q

After ear surgery clients should avoid what

A

Drinking with a straw for 2-3 weeks
Avoid air travel
Avoid coughing excessively

26
Q

The breakdown of fats for conversion to glucose is related to elevated levels of which substance

A

Ketones

27
Q

Clients with acute pancreatitis have what kind of pain

A

Increases after vomiting
Pain is a steady and intense epigastric pain that radiates to the clients back and flank
Pain may lessen when the client sits up or bends forward
Eating exacerbates pain

28
Q

Flurbiprofen (ocufen) should be contraindicated for which condition

A

A client with glaucoma

29
Q

Histoplasmosis

A

Caused by inhalation of spores from bat or bird droppings

Cannot be transmitted from one person to another

30
Q

Toxoplasmosis

A

Caused by ingestion of cysts from contaminated cat feces

31
Q

How does nurse inspect lacrimal apparatus of clients eye

A

Retract upper eyelid, and ask client to look down

32
Q

Which medication should be available in the event of a client in a cholonergic crisis?

A

Atropine sulfate

33
Q

Melasa would exhibit which skin characteristics

A

Blotchy brown macules across the cheeks and forehead

34
Q

How do you remove artificial eye in patient

A

Separate upper and lower eyelid with the dominant hand and cup the non dominant hand under the eye.
Apply pressure with the index finger between the eye and the brow

35
Q

Clients who are at risk for bleeding should have which lab checked periodically

A

ptt

36
Q

Pain related to skin biopsys

A

Biopsy is quick and almost painless

The most common source of pain is the administration of local anesthetic which can cause a burning or stinging sensation

37
Q

Aluminum hydroxide (ALternaGEL) does what

A

Combines with phosphorus and helps eliminate phosphates from the body

38
Q

Signs of adrenal insufficiency after adrenalectomy

A

Weakness
Hypotension
Fever
Mental status changes

39
Q

Acetazolamide (Diamox) is prescribed to a client with supratentorial lesion for what reason

A

To decrease production of cerebral spinal fluid

40
Q

What lab data should the nurse identify as possible thyroid surgery complication

A

Decreased calcium level bc this could indicate removal or injury of parathyroid glands

41
Q

If client arrives to Ed with chemical injury to eye what should nurse do

A

Tilt head to side of injury

Litmus paper used to test ph of eye before during and after irrigation

42
Q

What type of immunity do immunizations provide

A

Acquired immunity from disease

43
Q

What type of lesions are expected for herpes zoosters

A

Clustered skin vesicles

44
Q

Albumin is responsible for maintaining what

A

Osmolality of blood

45
Q

Ptosis is what

A

When client has left eyelid drooping

46
Q

A cause for a mechanical ventilator alarm sounds during what complication

A

Displacement of the endotracheal tube

47
Q

Signs of hyperglycemia

A 
Polydipsia
Polyuria
Polyphagia
Blurred vision
Fruity breath

Hesi Study (12 decks)

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