HESI ADULT HEALTH 2 EXAM NEWEST
ACTUAL EXAM WITH COMPLETE
QUESTIONS AND DETAILED ANSWERS
GRADED A | BRAND NEW!!!
The patient asks the nurse to explain the difference between
carbidopa-levodopa (Sinemet) and ropinirole (Requip). The
nurse's response is based on knowledge that
A. ropinirole is a dopamine agonist that has fewer side effects
than carbidopa-levodopa.
B. carbidopa-levodopa is less effective than ropinirole in
treating the symptoms of Parkinson's disease.
C. both drugs have the same pharmacodynamic and side effect
profiles.
D. carbidopa-levodopa acts as a dopamine agonist, whereas
ropinirole directly replaces dopamine. - ✔✔✔ Correct Answer >
a. Ropinirole is a newer antiparkinson drug that directly
stimulates specific dopamine receptors. It is more specific for
the receptors associated with parkinsonian symptoms, the D2
family. This in turn may have more specific antiparkinsonian
,effects, with fewer adverse effects associated with generalized
dopaminergic stimulation.
Which of the following measures should the nurse prioritize
when providing care for a patient with a diagnosis of multiple
sclerosis (MS)?
A. Vigilant infection control and adherence to standard
precautions
B. Careful monitoring of neurologic vital signs and frequent
reorientation
C. Maintenance of a calorie count and hourly assessment of
intake and output
D. Assessment of blood pressure and monitoring for signs of
orthostatic hypotension - ✔✔✔ Correct Answer > a. Infection
control is a priority in the care of patients with MS, since
infection is the most common precipitator of an exacerbation
of the disease. Decreases in cognitive function are less likely,
and MS does not typically result in hypotension or fluid volume
excess or deficit.
A male patient with a diagnosis of Parkinson's disease (PD) has
been admitted recently to a long-term care facility. Which of
,the following actions should the health care team take in order
to promote adequate nutrition for this patient?
A. Provide multivitamins with each meal.
B. Provide a diet that is low in complex carbohydrates and high
in protein.
C. Provide small, frequent meals throughout the day that are
easy to chew and swallow.
D. Provide the patient with a minced or pureed diet that is high
in potassium and low in sodium. - ✔✔✔ Correct Answer > c.
Nutritional support is a priority in the care of individuals with
PD. Such patients may benefit from meals that are smaller and
more frequent than normal and that are easy to chew and
swallow. Multivitamins are not necessary at each meal, and
vitamin intake, along with protein intake, must be monitored to
prevent contraindications with medications. It is likely
premature to introduce a minced or pureed diet, and a low
carbohydrate diet is not indicated.
Which of the following nursing diagnoses is likely to be a
priority in the care of a patient with myasthenia gravis (MG)?
A. Acute confusion
, B. Bowel incontinence
C. Activity intolerance
D. Disturbed sleep pattern - ✔✔✔ Correct Answer > c. The
primary feature of MG is fluctuating weakness of skeletal
muscle. Bowel incontinence and confusion are unlikely signs of
MG, and although sleep disturbance is likely, activity
intolerance is usually of primary concern.
The nurse who has administered a dose of risperidone
(Risperdal) to a patient with delirium assesses for which of the
following intended effects of the medication?
A. Lying quietly in bed
B. Alleviation of depression
C. Reduction in blood pressure
D. Disappearance of confusion - ✔✔✔ Correct Answer > a.
Risperidone is an antipsychotic drug that reduces agitation and
produces a restful state in patients with delirium. However, it
should be used with caution.
When providing community health care teaching regarding the
early warning signs of Alzheimer?s disease, which of the
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