Evolve HESI 1 Exam All Questions Correct Answers New Update

Evolve HESI 1 Exam All Questions Correct Answers New Update Which condition is contraindicated for St. John's Wort herbal therapy? - Answer -Dementia (St. John's Wort is used to treat anxiety) other contraindicated for st. johns: schizophrenia, bipolar depression, Alzheimer's Which condition is contraindicated for Bupropion? - Answer -Seizures Which condition is contraindicated for Valerian? - Answer -Cardiac Disease Which condition is contraindicated for ginseng herbal therapy? - Answer -Pregnancy Which antidepressant medication is a selective monoamine oxidase-B inhibitor? a. Selegiline b. Phenelzine c. Isocarboxazid d. Tranylcypromine - Answer -Selegiline is a a selective monoamine oxidase-B inhibitor. The other medications are nonselective monoamine oxidase-A and B inhibitors. Which response identified by the nurse is unrelated to an extrapyramidal tract effect? - Answer -opisthotonos, oculogyric crisis, akathisia are all examples. Hypertension is unrelated. Extrapyramidal tracts: Originate in the brainstem, carrying motor fibres to the spinal cord. They are responsible for the unconscious, reflexive or responsive control of musculature, eg muscle tone, balance, posture and locomotion. Zolipidem (Ambien) - Answer -Sedative/hypnotic; short use for INSOMNIA o Can cause daytime sleepiness o schedule 4 drug; risk for dependence o avoid ETOH, barbiturates, opioids and other CNS depressants when taking Semi-Fowler's Position - Answer -the head of the bed is raised 30 degrees; or the head of the bed is raised 30 degrees and the knee portion is raised 15 degrees Which body region is most at risk for pressure injury when the client is in semi-fowlers position? - Answer -Sacrum Which body region is most at risk for pressure injury when the client is in upright sitting position? - Answer -Ischial spine Which body region is most at risk for pressure injury when the client is in side lying position? - Answer -Greater trochanter What do neuroleptics do? - Answer -o it blocks dopamine o treats schizophrenia, does not treat Parkinson's o increases serotonin at post synaptic sites Clozapine is used for what and poses a risk for what? - Answer -o antipsychotic medication o risk for development of agranulocytosis, especially when combined with SSRI (such as prozac) o monitor WBC In adolescents, the volume of solution required for an enema is: - Answer -500-750 mL In infants, the volume of solution required for an enema is: - Answer -150-250 mL warmed solution Second generation antipsychotics may cause: - Answer -metabolic side effects such as diabetes and dyslipiemia clozapine is more effective than others first generation antipsychotics may cause - Answer -extrapyramidal side effects Which medication may lead to bruxism? - Answer -levomilnacipran Which age related effects occur in the older client? - Answer -increased autoantibodies Which age related effects DECREASE in the older client? - Answer -expression of IL-2 receptors, delayed hypersensitivity reaction, and primary/secondary antibody responses Autoantibodies - Answer -Antibodies produced by B cells that mistakenly attack and destroy "self" cells belonging to the patient; autoantibodies are the pathophysiologic agent of most autoimmune disorders which blood glucose levels would the nurse identify as hypoglycemia? - Answer -72 - 108 in adults is normal less than 72 = hypoglycemia