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NSG 123 HESI EXAM 1 NEWEST 2024/2025 ACTUAL EXAM
QUESTIONS WITH 100% CORRECT VERIFIED ANSWERS/
AGRADE ASSURED!!
What is the treatment for Malignant Hyperthermia? - Correct Answer - Cooling blanket IV fluids 100% oxygen Dantrolene (muscle relaxant)
What do you need to know about Renal Calculi (kidney stones)? - Correct Answer - Make pain meds a priority! Strain the patients urine to collect stone• Test stone to determine the type of stone it is.
Prevent with diet: Oxalate- Spinach, beets, rhubarb, nuts/ seeds, black tea•
Calcium Phosphate- dairy, rice, many green veggies, tofu• Uric Acid- high purine foods- organ meat, salmon, beer, wine, aged cheeses Treat with lithotripsy
What is the treatment of asthma? - Correct Answer - Inhaled steroids for maintenance and long-term control Short-acting Beta-2 agonist or bronchodilator for short-term/immediate
What is the goal for patients with Ulcerative Colitis? - Correct Answer - Normal bowel elimination patterns, relief of abdominal pain and cramping, prevention of fluid volume deficit, maintenance of optimal nutrition and weight, avoidance of fatigue, reduction of anxiety, promotion of effective coping, absence of skin breakdown, increased knowledge about the disease process and self-health management, & avoidance of complications. 1 / 3
pg. 2 What is Hypovolemia? What HR would you expect to see? - Correct Answer - Deficient fluid volume Decreased cardiac output Risk for impaired oral mucous membranes
What are things you should know about Myxedema Coma? - Correct Answer - Extreme, untreated hypothyroidism• Wiill administer thyroid hormone IV- monitor for acute cardiac changes May worsen with infection, drugs, cold, trauma Patient will need to have temperature increased slowly!
What are the 3 top symptoms of GERD? - Correct Answer - Heartburn- most common clinical manifestation Dyspepsia-pain or discomfort centered in the upper abdomen Regurgitation-Described as hot, bitter, or sour liquid coming into the throat or mouth.
Seizure Precautions - Correct Answer - Suction equipment with a suction catheter and oral airway.The bed is placed in a low position with two to three side rails up and padded, if necessary, to prevent injury to the patient. The patient may be drowsy and may wish to sleep after the seizure; they may not remember events leading up to the seizure and for a short time thereafter.
What is Hypervolemia? - Correct Answer - Excess fluid volume Impaired gas exchange Risk for impaired skin integrity Activity intolerance 2 / 3
pg. 3 What would you expect to see as labs for pre-op? - Correct Answer - Routine laboratory tests used to detect infection include the white blood count (WBC) and the urinalysis. Surgery may be postponed in the presence of infection.
What are some oxalate foods? What can they cause? - Correct Answer - Foods high in oxalate can cause Kidney Stones. To prevent kidney stones avoid intake of oxalate-containing foods (e.g., spinach, strawberries, rhubarb, tea, peanuts, chocolate, wheat bran).
What are symptoms that there may be Peptic Ulcer Disease Complications? - Correct Answer - Although vomiting is rare in an uncomplicated peptic ulcer, it may be a symptom of a complication of an ulcer. It results from gastric outlet obstruction, caused by either muscular spasm of the pylorus or mechanical obstruction from scarring or acute swelling of the inflamed mucous membrane adjacent to the ulcer.
BPH - Correct Answer - Significant amount of men > 60yrs will be affected- common complaint Prostate enlarges over time and can impede urine flow Often diagnosed by patient report of symptoms Not cancerous or painful Chronic retention issues can lead to a lower urinary tract infection (UTI)
What are symptoms of BPH? - Correct Answer - Obstructive and irritative symptoms may include urinary frequency, urgency, nocturia, hesitancy in starting urination, decreased and intermittent force of stream and the sensation of incomplete bladder emptying, abdominal straining with urination, a decrease in the volume and force of the urinary stream, dribbling (urine dribbles out after urination), and complications of acute urinary retention and recurrent UTIs.
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