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Hesi Final NR142 Test

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1.
Nutritional needs of client w/Diverticulitis (hesi hint)
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2.
Hepatitis patho
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3.
tx for hyperthyroidism
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4.
Drainage after TURP
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5.
Why do diabetics have trouble with wound healing? (hesi hint)
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6.
Cystocele
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7.
treatment of ascites (hesi hint)
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8.
non ketotic hyperosmolar hyperglycemia
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9.
NA for hyperthyroidism
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10.
What is glycosylated hgb (A1C)? Hesi hint
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11.
tx non ketotic hyperosmolar hyperglycemia
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12.
Diabetic ketoacidosis
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13.
Hepatitis NI (hesi hint)
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14.
Physical assessment of Cushing's
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15.
What position should patient be in?
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16.
Diverticulitis
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17.
S/S of hypErglycemia
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18.
Prostate Cancer
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19.
calcium implications w/thyroidectomy d/t removal of parathyroid glands (hesi hint)
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20.
Assessment for Diverticulitis
A.
paracentesis or peritoneovenous shunts
B.
Acute phase-NPO graduating to liquids; recovery phase- no fiber or bowel irritating foods; maintenance-high fiber w/bulk laxatives to prevent pooling of foods & avoid small poorly digested foods such as popcorn, nuts, seeds
C.
left lower quadrant pain, increased flatus, rectal bleeding, signs of intestinal obstruction,
D.
medications-take as prescribed; radiation -GI irritant, vomitus is radioactive; thyroidectomy
E.
normal serum calcium 9-10.5. best indicator of prob is decrease in calcium level post op
F.
no ketones hyperglycemia, dehydration, plasma hyperosmolity, changed mental status
G.
relaxation of anterior vaginal wall with prolapse of bladder
H.
high blood glucose adds to damage of capillaries causing permanent scarring. causes disruption of capillary elasticity, promoting probs such as diabetic retinopathy, poor healing, cardiovascular issues
I.
enlarged thyroid (goiter), weight loss, diarrhea, heat intolerance, tachycardia, Inc BP, diaphoresis, exopthalmos
J.
inflammation of liver cells
K.
rest & adequate nutrition, monitor drug therapy d/t drugs being metabolized in liver, do not resume drugs or use OTC during tx for hepatitis w/out dr approval
L.
glucose >350, ketonuria, venous PH 6.8-7.2
M.
isotonic IV fluids, IV insulin (if needed)
N.
reddish pink clearing to pink. some small clots. monitor for bright red bleeding w/large viscous clots. normal for some bleeding & small clots to be passed. If large amts sh/be reported
O.
3 P's, blurred vision (type2), weaknness, weight loss, syncope
P.
rarely before age 40, 2nd leading cause of male death; high risk-multiple sex partners, STD's and some viral infections
Q.
moon face, buffalo hump, truncal obesity, abd stiae, muscle atrophy, hirsuitism, hyperpigmentation, amenorrhea, thinning of skin
R.
Fowlers/Semi fowlers reduces amt of regurgitation and preventing stomach tissue upward thru diaphragm opening
S.
Inflammed pouches in intestinal wall. can lead to bowel perforation
T.
indicates glucose control over previous 120 days (life of red blood cells). valuable measure of diabetic
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21.
ovarian cancer
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22.
1-2hr onset, 6-12 hr peak; mix with rapid acting
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23.
HA, nausea, sweating, tremors, lethargy, hunger, confusion, slurred speech, tingling around mouth, anxiety, nightmares
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24.
provides tight glucose control to prevent long term complications; monitor before meals, bedtime and when symptoms occur; record results and report to provider
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25.
water, check BG, assess for ketoacidosis
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26.
administer analgesics, pancreatic enzymes (mix w/fruit juice or applesauce, monitor coca of stool to determine enzyme tx effectiveness, low fat bland diet, monitor for s/s of DM
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27.
bowel pattern/Control diarrhea, low residue/low fat/high protein/high cal diet, no dairy, avoid spicy or diarrhea causing foods, I&O, electrolytes, emotional support
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28.
superficial mucosa of colon causing bowel to narrow, shorten, and thicken. sigmoidoscopy/colonoscopy tests,
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29.
adm vit supplements (ABCK) observe mental status, avoid initiating bleeding (no uncessary sticks, electric razor, soft tooth brush, maintain venipressure 5 mins, check stools for blood, prevent straining w/defecation. restrict protein, skin care
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30.
carb counting/exchange lists; time meals to med peak times; 55-60% carbs/12-15% protein/ 30% or less fat. choose complex carbs, fiber low fat. Bedtime snack prevent insulin reaction to long acting insulin peaks.

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