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BSN 246 HESI HEALTH ASSESSMENT FINAL EXAM 200 EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!$29.49
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BSN 246 HESI HEALTH ASSESSMENT FINAL EXAM 200 EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
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Course
BSN 246 HESI HEALTH ASSESSMENT
Institution
BSN 246 HESI HEALTH ASSESSMENT
BSN 246 HESI HEALTH ASSESSMENT FINAL
EXAM 200 EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
BSN 246 HESI HEALTH ASSESSMENT FINAL
EXAM 200 EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
BSN 246 HESI EXAM
1. The nurse is completing a health assessment of a 42-year-old
female with
suspected Graves' disease. The nurse should assess this client
for:
1. Anorexia.
2. Tachycardia.
3. Weight gain.
4. Cold skin. - ANSWER- 2.
Rationale; Graves' disease, the most common type of
thyrotoxicosis, is a state of
hypermetabolism. The increased metabolic rate generates
heat and produces tachycardia
and fine muscle tremors. Anorexia is associated with
hypothyroidism. Loss of weight,
,2|Page
despite a good appetite and adequate caloric intake, is a
common feature of
hyperthyroidism. Cold skin is associated with
hypothyroidism.
CN: Physiological adaptation; CL: Analyze
2. When conducting a health history with a female client with
thyrotoxicosis, the
nurse should ask about which of the following changes in the
menstrual cycle?
1. Dysmenorrhea.
2. Metrorrhagia.
3. Oligomenorrhea.
4. Menorrhagia. - ANSWER- 3.
Rationale; A change in the menstrual interval, diminished
menstrual flow
(oligomenorrhea), or even the absence of menstruation
(amenorrhea) may result from the
hormonal imbalances of thyrotoxicosis. Oligomenorrhea in
women and decreased libido
and impotence in men are common features of
thyrotoxicosis. Dysmenorrhea is painful
menstruation. Metrorrhagia, blood loss between menstrual
periods, is a symptom of
,3|Page
hypothyroidism. Menorrhagia, excessive bleeding during
menstrual periods, is a
symptom of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
3. A 34-year-old female is diagnosed with hypothyroidism. The
nurse should assess
the client for which of the following? Select all that apply.
1. Rapid pulse.
2. Decreased energy and fatigue.
3. Weight gain of 10 lb (4.5 kg).
4. Fine, thin hair with hair loss.
5. Constipation.
6. Menorrhagia. - ANSWER- 2, 3, 5, 6.
Rationale; Clients with hypothyroidism exhibit symptoms
indicating a lack of
thyroid hormone. Bradycardia, decreased energy and
lethargy, memory problems,
weight gain, coarse hair, constipation, and menorrhagia are
common signs and
symptoms of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
, 4|Page
4. Propylthiouracil (PTU) is prescribed for a client with Graves'
disease. The nurse
should teach the client to immediately report which of the
following?
1. Sore throat.
2. Painful, excessive menstruation.
3. Constipation.
4. Increased urine output. - ANSWER- 1.
Rationale; The most serious adverse effects of PTU are
leukopenia and agranulocytosis,
which usually occur within the first 3 months of treatment.
The client should be taught to
promptly report to the health care provider signs and
symptoms of infection, such as a
sore throat and fever. Clients having a sore throat and fever
should have an immediate
white blood cell count and differential performed, and the
drug must be withheld until
the results are obtained. Painful menstruation, constipation,
and increased urine output
are not associated with PTU therapy.
CN: Pharmacological and parenteral therapies; CL:
Synthesize
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