Hesi 2 Retake Exam Questions and Answers(VERIFIED)

TURP - ANSWER-Surgery to remove parts of prostate gland through the penis. ___________ irrigation can be used with TURP - ANSWER-Continuous Continuous Irrigation: Some urologists leave an indwelling catheter attached to _______________ - ANSWER-a dependent drainage system Continuous Irrigation: What can remove obstructing clots from the catheter (urinary) - ANSWER-gentle irrigation Continuous irrigation: if patient complains of pain we should...... - ANSWER-examine the tubing Urethritis - ANSWER-Inflammation of the urethra (Lower UTI) S&S of urethritis - ANSWER-Burning on urination Urinary frequency (voiding more than every 3 hours) Urgency Nocturia Incontinence Suprapubic or pelvic pain Risk for urethritis - ANSWER-Female Diabetes Pregnancy Neurologic disorder Gout Incomplete emptying of bladder Prevention of urethritis/UTIs - ANSWER-Hand hygiene Careful perineal care Frequent toileting With urethritis, monitor ___________ - ANSWER-I&O and Kidney function Medication for urethritis when bacteriuria is present. - ANSWER-Antibiotics Increase fluid intake with urethritis unless ________ - ANSWER-Contraindicated by cardiac status Stones form in urinary tract when _______ - ANSWER-concentration of substances like calcium oxalate, calcium phosphate, and uric acid increase. renal calculi risks - ANSWER-Infection Urinary stasis Periods of immobility Increased calcium in urine ______ are given to prevent shock and syncope that may result from the excruciating pain of renal calculi. - ANSWER-Opioids Renal Calculi medication - ANSWER-NSAIDS Opioids to prevent shock with severe pain Once stone is passed, ______ is relieved. - ANSWER-Pain non pharmaceutical relief for flank pain with renal calculi - ANSWER-Hot baths or moist heat S&S of Calculi - ANSWER-Nausea Vomiting Diarrhea Abdominal distention Calculi pain assessment - ANSWER-Severity, Location, Radiation Imitrex (Sumatriptan) uses - ANSWER-Used for migraine headaches with or without aura and cluster headaches. Imitrex (Sumatriptan) contraindications - ANSWER--Older adults should not take -caution when administering to renal impaired patients because elimination takes place in renal system -caution with hepatic impaired as metabolism takes place in liver -Hx of hypersensitivity reactions to the drug -Cerebrovascular or peripheral vascular system Ergot Alkaloids should not be given within ________ of Imitrex - ANSWER-24 hours Use of MOA inhibitors with Imitrex can lead to _______ - ANSWER-Increased levels of sumatriptan and sumatriptan toxicity. OTC to avoid with sumatriptan and what it does - ANSWER-St Johns Wort Sumatriptan toxicity When is it permissible to start imitrex after MAO discontinuation - ANSWER-2 weeks later Endocrine disorder which is a form of thyrotoxicosis resulting from an excessive synthesis and secretion of endogenous or exogenous thyroid hormones by the thyroid. - ANSWER-Hyperthyroidism. (Graves Disease) S&S of hyperthyroidism (Graves) - ANSWER-Nervousness Hyperexcitability Irritability Apprehensiveness Palpitations Exophthalmos Hypertension Tachycardia Tachypnea Dyspnea Weight loss Increase appetite and thirst Fatigue Weakness Amenorrhea Infertility Edema Insomnia Goiter Excessive sweating Exophthalmos - ANSWER-protruding eyeballs Plan of care for exophthalmos - ANSWER-Wear sunglasses or eyepatches to protect eyes from light Meds: Propylthiouracil/PTU and Methimazole Use artificial tears Tap eyelids shut during sleep exophthalmos bed position - ANSWER-head of the bed in a raised position to facilitate fluid drainage from the periorbital area. peripheral neuropathy: area particularly susceptible to breakdown - ANSWER-Heels- because of loss of sensation of pain and pressure. With peripheral neuropathy, skin is assessed for..... - ANSWER-dryness cracks breakdown redness- especially at pressure points on lower extremities. S&S of peripheral neuropathy - ANSWER-thingling and pain or numbness of the feet. Normal glucose - ANSWER-70-110 mg/dL Labs for preop - ANSWER-WBC Urinalysis (to detect UTI, renal disease, poorly controlled diabetes) CBC, Coagulation What form should accompany the patient to the OR and my prominently place in the patient medical record. - ANSWER-Informed Consent Form Assessing patients knowledge of procedure - ANSWER-teachback Malignant Hyperthermia - ANSWER-a rare inherited muscle disorder that is chemically induced by anesthetic agents. During anesthesia, ________ may trigger the sx of malignant hyperthermia - ANSWER-potent agents such as inhalation anesthetic agents and muscle relaxants. S&S of malignant hyperthermia - ANSWER-Tachycardia Ventricular dysrhythmia Hypotension Oliguria Hypercapnia Hypercapnia - ANSWER-increase in CO2 Noticing malignant hyperthermia - ANSWER-recognize symptoms early and discontinue anesthesia Treating malignant hyperthermia - ANSWER-Decrease metabolism Reverse metabolic and respiratory acidosis Decrease body temp The surgery may continue after malignant hyperthermia if ____________ - ANSWER-End-tidal CO2 monitoring and dantrolene sodium (Dantrium) are available and anesthesiologist is experienced Post Op Pain: non-pharmaceutical management - ANSWER-guided imagery music healing touch changing positions distraction apply cool washcloth back massage ______ are commonly prescribed for pain and immediate postoperative restlessness - ANSWER-opioids Assessing post op pain - ANSWER-appearance pulse respirations b/p skin color (adequate or cyanotic) skin temp (cool and clammy, warm and moist, warm and dry) Relieving pain post-op - ANSWER-Prescribed analgesics medications changing positions frequently assessing and alleviating anxiety early ambulation ---- if possible. Hydromorphne (Diladid) should not be given to patients with....... - ANSWER-hypotension, hypovolemia, CNS depression Diladid may suddly drop __________ - ANSWER-blood pressure Hydromorphone (Diladid) - ANSWER-given to patients who state they have severe pain. Given IV Quick acting a chronic inflammatory lung disease that causes obstructed airflow from the lungs. -