Final Hesi exit study guide

barium enema

"It gives more contrast to the soft tissue of the alimentary tract, allowing absorption of x-rays."

A client with diabetes asks the nurse whether the new forearm stick glucose monitor gives the same results as a finger stick. Which is an appropriate response to this question?

"There is no difference between readings."

Burn: Legs

(18% each)36 total

Glyburide contraindications

- Severe *Hepatic* or *Renal* Impairment - Allergy to *Sulfa* Drugs -Dye due to acidosis risk

Fertility meds

-Clomiphine -Human chorionic gonadotropin

function of epidermis

-Inhibits proliferation of microorganisms -Vitamin D

when taking care of pressure ulcer DO NOTS

-avoid donut shaped pillows -keep head of bead low -do not massage

electrical burns s/s

-cardiac arrest -leathery skin -burn odor

normal albumin

3.5-5

head burn

9%

Arms Burn

9% each

Which element excessively accumulates in the blood to precipitate the signs and symptoms associated with a diabetic coma?

ketones

Metanephrine urine test

A client with a suspected endocrine tumor presents with hypertension. The nurse anticipates a prescription for which initial test to confirm the diagnosis?

The registered nurse teaches a student nurse how to care for a client with hyperpituitarism who is being treated with bromocriptine mesylate. Which statement made by the student nurse indicates effective learning?

A low dose should be given initially

ablation therapy

A treatment for hyperthyroidism using radioactive iodine

Which changes would the nurse assess in a client who sustained skin injuries 3 days ago? Select all that apply. One, some, or all responses may be correct.

localized edema and erythema

Granulation tissue forms

on the 4th day after an injury

negative pressure not used with

open bleeding

Desquamation

peeling skin serious side effect of x rays

treat scabies with

permethrin cream benzyl benzoate

Cyproheptadine treats

pituitary Cushing syndrome

A client, admitted with a diagnosis of Addison disease, is emaciated and reports muscular weakness and fatigue. Which disturbed body process would the nurse determine is the root cause of the client's clinical manifestations?

protein catabolism

hypophysectomy

removal of the pituitary gland

brassy cough

result of tracheal lesion indicates potential respiratory obstruction

furuncle

small, red lesion filled with pus occurs in areas with hair :axilla

The nurse is reviewing the history, physical examination, and diagnostic test results of a client with colitis. Which clinical findings are associated with this disorder? Select all that apply. One, some, or all responses may be correct. Anemia Diarrhea Hemoptysis Abdominal cramps Decreased white blood cells

Anemia Diarrhea Abdominal cramps

The nurse is caring for a client after a thyroidectomy. With concerns of nerve injury, which functional ability would the client be assessed for?

speaking laryngeal nerve could be damaged

Grafting begins when

the Granulation bed forms

signs of increased growth hormone

thickening of lips

excess carotene common with

thyroid deficiency

Barbiturates

treat epilepsy can cause diffuse redness and large blisters on the buccal mucosa. toxic epidermal necrolysis (TEN)

impetigo on skin presents as

vesiculopustular lesions with honey-colored crusts

open method

Burn wound is left uncovered PPe worn by staff No dressing applied

Carotene

yellow-orange pigment

hypophysectomy post op yellow discharge indicates

CSF leakage notify HCP

A person on the beach sustains a deep partial-thickness sunburn. Which first-aid measure would the nurse recommend before the client seeks health care?

Cool, moist towels

When teaching a client with type 2 diabetes, which statement by the nurse reflects accurate information about preparing for a serum glucose test?

Do not ingest anything before test. assesses ur fasting Blood glucose

Which integumentary changes can be anticipated in a client with a platelet count of 60,000/µL (60 × 109/L)? Select all that apply. One, some, or all responses may be correct.

Hematoma Petechia ecchymosis

Conn syndrome

Hyperaldosteronism caused by an adrenal tumor

The nurse would assess for which electrolyte imbalance during the first 48 hours after a client has sustained a thermal injury?

Hyperkalemia and hyponatremia

Which fluid shift will the nurse take into consideration when assessing a client with type 1 diabetes who is experiencing a fluid imbalance?

Intracellular to intravascular as a result of hyperosmolarity

nails in iron deficiency

Koilonychia (spoon nails) flattening of nail plate with increased smoothness

Intertrigo (Candidiasis)

Scalding red, moist patches with sharply demarcated borders, some loose scales. Usually in genital area extending along inguinal and gluteal folds. Aggravated by urine, feces, heat, and moisture, the Candida fungus infects the superficial skin layers.

Glyburide MOA

Stimulates insulin release from the pancreatic beta cells; reduces glucose output from the liver; insulin sensitivity is increased at peripheral target sites

Which age-related skin change occurs in older adult clients and increases their potential for developing pressure ulcers?

decreased subcutaneous fat

pitting edema

edema that retains an imprint when touched

s/s of shock

Weakness Diaphoresis Tachycardia Cold extremities

MI nail color

White or generalized pallor

pheochromocytoma

a benign tumor of the adrenal medulla that causes the gland to produce excess epinephrine -INcredibly high BP

Negative pressure wound therapy

a new technology used to reduce chronic ulcers by removing fluids from the wound and enhancing granulation.

what type of infection is impetigo

bacterial infection

restlessness is the main early indicator of what

cerebral hypoxia

Which type of burn can cause paralysis?

chemical

burn torso

chest 9% front 9%back 9%abdomen 9%abdomen back

hypercalcemia gi symptoms

constipation decreased bowel sounds NOT cramp

Goiter

enlargement of the thyroid gland -thyroid antibody levels used to confirm diagnosis

Nevi

flat and slightly elevated verrucous skin and dome-shaped papillomatosis. Moles No treatment needed

burn private area

1%

Hematoma

a solid swelling of clotted blood within the tissues.

The nurse stops at an accident scene to administer emergency care for a person who has sustained partial- and full-thickness burns to the chest, right arm, and upper legs as the result of a car fire. Which action would the nurse take when caring for this person at the scene?

Cover with a clean dry sheet in emergency

The overproduction of which hormone is associated with carpal tunnel syndrome in clients?

growth hormone

peptic ulcer most common complication

hemorrhage

A client rescued from a burning building has partial- and full-thickness burns over 40% of the body. Which initial physiological change will the nurse expect?

increase in serum potassium

scar tissue forms

3 weeks after injury

Normal urine output

30-50 mL/hr