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HESI Milestone Exam #1 With Correct Verified Answers.

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HESI Milestone Exam #1 With Correct Verified Answers.

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  • November 17, 2024
  • 27
  • 2024/2025
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HESI Milestone Exam #1 With Correct Verified Answers

1. Histamine1 blockers action(mine, zine, dine) Ex.

Loratadine

Fexofenadine

Diphenhydramine

Chlorpheniramine

Levocemtirizine: bind selectively to H1-histaminic receptors, blocking the actions of

histamine at these sites

2. H1 antagonists are useful in treating: -mild allergies(seasonal rhinitis) -severe

allergies(anaphylaxis)

-motion sickness

-insomnia

-common cold

3. Histamine (H2)-Receptor Antagonists action(tidine)

Cimetidine

Ranitidine: block the H2 receptors responsible for stimulating the secretion of gastric

acid

4. Exenatide (Byetta) hypoglycemia: -can occur right after meals

-for severe hypoglycemia give IV dextrose






,5. Exenatide (Byetta) hypoglycemia teaching: -teach about s/s of hypoglycemia(cold

and clammy give them candy) -have glucagon emergency kit available

-regular monitoring of A1c levels are required

6. Exenatide (Byetta) hypoglycemia causes: -insulin overdose

-reduced food intake

-vomiting and diarrhea

-excessive alcohol intake

-unaccustomed exercise

-termination of pregnancy

7. signs and symptoms of hypoglycemia: -tachycardia

-palpitations

-sweating

-nervousness

-headache

-confusion

-drowsiness

-fatigue

8. antitussives therapeutic action is to: Act on the cough control center in the medulla

to suppress the cough reflex; used for a cough that is nonproductive and irritating






, .


9. Anaphylaxis PCN: -laryngeal edema, bronchoconstriction, severe hypotension=

immediate hypersensitivity reaction

10. Anaphylaxis treatment: epinephrine (subQ, IM, or IV) plus respiratory support

11. What drugs are effective and safe alternatives for patients with penicillin

allergies?: vancomycin, erythromycin, and clindamycin

12. To ensure prompt treatment if anaphylaxis should develop patients should be?:

observed for at least 30 minutes after drug injection (i.e., until the risk of an

anaphylactic reaction has passed).

13. To minimize the chances of an anaphylactic reaction, penicillin should be

administered: an initial small dose is followed at 60-minute intervals by

progressively larger doses until the full therapeutic dose has been achieved

14. Morphine overdose treatment: -Naloxone (narcan)

-Intravenous, IM, and subQ. For initial treatment, administer IV

15. CT diarrhea action: -decrease intestinal motility and thereby slow intestinal transit,

which allows more time for absorption of fluid and electrolytes

-activation of opioid receptors decreases secretion of fluid into the small intestine and

increases absorption of fluid and salt.

16. ACE inhibitor hyperkalemia: -Inhibition of aldosterone release (secondary to

inhibition of angiotensin II production) can cause potassium retention by the kidney.

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