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