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PATHO HESI EXIT LATEST ACTUAL EXAM TEST BANK 450+ QUESTINS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+$27.99
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PATHO HESI EXIT LATEST ACTUAL EXAM TEST BANK 450+ QUESTINS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
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Course
PATHO HESI
Institution
PATHO HESI
PATHO HESI EXIT LATEST ACTUAL EXAM TEST
BANK 450+ QUESTINS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
PATHO HESI EXIT LATEST ACTUAL EXAM TEST
BANK 450+ QUESTINS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
PATHO HESI EXIT LATEST 2023-2024 ACTUAL EXAM TEST
BANK 450+ QUESTINS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A school nurse has identified a student with noticeable loss of lean tissues and
muscle mass. More than likely, this is caused by protein-calorie malnutrition. The
nurse should ask the student if he is experiencing which of the following clinical
manifestations that helps confirm this diagnosis?
A) Respiratory muscle stimulation
B) Excessive blood cell production
D) Increased cardiac contractility - ANSWER-Ans: C
Feedback:
Protein-calorie malnutrition results in skeletal muscle loss and diarrhea. This type
of malnutrition is also characterized by respiratory muscle weakness and blood
cell loss that impairs the immune response.
A homeless client asks, "Why can't I get this wound on my foot to heal?" Knowing
that the client is not receiving good nutrition on a regular basis, the nurse will
reply:
A) "Maybe if you could come to the clinic every day, we can help you change your
dressing."
C) "Maybe if you could find a place to sleep that is cleaner than where you usually
sleep that will help."
D) "We just need to make sure you are getting the right antibiotics." - ANSWER-
Ans: B
Feedback:
,PATHO HESI EXIT LATEST 2023-2024 ACTUAL EXAM TEST
BANK 450+ QUESTINS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
As protein is lost from the liver, hepatic synthesis of proteins declines, and plasma
protein levels decrease. There also is a decrease in immune cells. Wound healing
is poor, and the body is unable to fight off infection because of multiple
immunologic malfunctions throughout the body.
At the cellular level, cardiac muscle cells respond to an increase in ventricular
volume to the point of overload by: Select all that apply.
A) Elongating the cardiac muscle cells
B) Thickening of the individual myocytes
C) Replicating the myofibrils
E) Symmetrically widening and lengthening the hypertrophy - ANSWER-Ans: A, D
Feedback:
At the cellular level, cardiac muscle cells respond to stimuli from stress placed on
the ventricular wall by pressure and volume overload by initiating several
different processes that lead to hypertrophy. With ventricular volume overload,
the increase in wall stress leads to replication of myofibrils in series, elongation of
the cardiac muscle cells, and eccentric hypertrophy. Eccentric hypertrophy leads
to a decrease in ventricular wall thickness or thinning of the wall with an increase
in diastolic volume and wall tension. Production of a symmetric hypertrophy
occurs with a proportionate increase in muscle length and width, as occurs in
athletes; concentric hypertrophy with an increase in wall thickness, as occurs in
hypertension; and eccentric hypertrophy with a disproportionate increase in
muscle length, as occurs in dilated cardiomyopathy. When the primary stimulus
for hypertrophy is pressure overload, the increase in wall stress leads to parallel
replication of myofibrils, thickening of the individual myocytes, and concentric
hypertrophy. Concentric hypertrophy may preserve systolic function for a time,
,PATHO HESI EXIT LATEST 2023-2024 ACTUAL EXAM TEST
BANK 450+ QUESTINS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
but eventually the work performed by the ventricle exceeds the vascular reserve,
predisposing to ischemia.
From the following clients, who are at high risk for developing heart failure as a
result of diastolic dysfunction? Select all that apply.
whose pulse rate is 46
C) A 57-year-old client with history of ischemic heart disease
ANSWER-Ans: A, D
Feedback:
Conditions that reduce the heart's ability to adequately fill during diastole, such as
myocardial hypertrophy and tachycardia, can lead to heart failure. Hypertension
remains the leading cause of diastolic dysfunction. Ischemic heart disease is
associated with systolic heart failure, or impaired contractile performance. It is
normal for athletes, like marathon runners, to have slow pulses.
The most common causes of left-sided heart failure include:
B) Chronic pulmonary disease
C) Impaired renal blood flow
D) Tricuspid valve regurgitation - ANSWER-Ans: A
Feedback:
The most common causes of left-sided heart failure are acute myocardial
infarction and hypertension. Acute or chronic pulmonary disease can cause right
heart failure, referred to as cor pulmonale. The causes of right-sided heart failure
include stenosis
, PATHO HESI EXIT LATEST 2023-2024 ACTUAL EXAM TEST
BANK 450+ QUESTINS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
or regurgitation of the tricuspid or pulmonic valves, right ventricular infarction,
and cardiomyopathy. Manifestations (rather than causes) of heart failure reflect
the physiologic effects of the impaired pumping ability of the heart, including
decreased renal blood flow.
Assessment of an elderly female client reveals the presence of bilateral pitting
edema of the client's feet and ankles and pedal pulses that are difficult to palpate.
Auscultation of the client's lungs reveals clear air entry to bases, and the client's
oxygen saturation level is 93%, and vital signs are within reference ranges. What is
this client's most likely health problem?
B) Pericarditis
C) Cardiogenic shock
D) Cor pulmonale - ANSWER-Ans: A
Feedback:
A major effect of right-sided heart failure is the development of peripheral
edema. A client who is in shock would not have stable vital signs. Cor pulmonale
would be accompanied by manifestations of lung disease. Pericarditis is an
inflammation of the pericardium exhibited by fever, precordial pain, dyspnea, and
palpitations.
While teaching a client with new-onset right-sided heart failure, the nurse should
educate the client to monitor for fluid accumulation by:
B) Measuring all of the client's urine output daily to check for a decrease in output
C) Listening to the breath sound with a stethoscope every morning
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