Updated Exit HESI Version 2 Exam Questions And Answers

Grave's disease signs and symptoms - ANS -Enlarged thyroid -Acceleration of body process: weight loss, increased appetite, diarrhea, heat intolerance, tachycardia, palpitations, increased BP, diaphoresis, nervousness, insomnia -Exophthalmos -Increased T3 and T4 levels -Low TSH levels Grave's disease test - ANS -Radioactive Iodine Uptake to detect how the thyroid is working -Ultrasound -Bloodwork -Imaging tests Grave's disease treatment - ANS -Goal: inhibit production of thyroid hormones and block effect on the body -Radioactive iodine therapy: destroys overactive thyroid cells over time -Propylthiouracil, methimazole -Betablockers -Subtotal or full thyroidectomy (risk of damaging vocal cords and parathyroid glands) Nursing interventions for a pt with COPD - ANS -Sit upright (positioning) -Pursed lip breathing -Diaphragmatic breathing -HOB up -Not too much O2: decreases stimulus to breathe -O2 is not first choice! Considerations when choosing an IV site - ANS -Avoid restricted extremities (fistula, breast CA (mastectomy/lymphedema), cellulitis) -If no upper extremities available, can use legs -Infiltration is a problem, dont reinstill IV access; keep IV in but start a new line Pheochromocytoma - ANS -Tumor on the adrenals that causes release of catecholamines (epi and norepi) -Can cause hypertensive crisis (above 240) -Monitor BP frequently -Mosly cardio sx: increased HR and BP General teaching points for pt taking meds - ANS -Take the full dose of antibiotics (can build resistance) -Pay attention to timing and whether you take with food or on an empty stomach Describe post-surgical nursing assessment - ANS -VITALS!! -Take VS first to give you "the lay of the land" and plan further treatment -Watch for shock and hemorrhaging -Make sure BP is above 90 -Give O2 if decreased sat -Look/ask about pain if HR increased Describe Lupus and pt education - ANS -*Autoimmune disord