MSN 570 HESI UPDATED Q&A (A+
Graded 100% verified)
Romberg test -{Answer}- used to evaluate cerebellar function and
balance
mitral valve prolapse -{Answer}- systolic click heard at apical area, pt
asymptomatic, need echo w/ doppler to confirm dx
Treatment for patient w/ HF -{Answer}- ACE & ARBS in combination
w/ beta blocker & diuretic
paroxysmal atrial tachycardia -{Answer}- rapid, regular contractions of
the atria that begins and ends quickly
Side effect of Calcium Channel Blockers -{Answer}- headache, heart
blocks, bradycardia
apical pulse difference -{Answer}- done when both radial and apical
pulses are checked at same time
For pt w/ emphysema -{Answer}- do not give beta blockers because it
decreases response to bronchodilators
pluses paradoxus -{Answer}- Decrease in systolic blood pressure (by
10mmHG) during inspiration
, S2 sounds -{Answer}- caused by closure of semilunar valve
aortic stenosis murmur -{Answer}- harsh and high pitched, best heard
at the 2nd right intercostal space w/ radiation to carotid arteries
Addisson's disease -{Answer}- findings: hyperpigmentation ,
hyperkalemia, hyponatremia and decrease serum cortisol levels
Hashimoto's disease -{Answer}- an autoimmune disease in which the
body's own antibodies attack and destroy the cells of the thyroid gland;
an enlarged thyroid is first sign of disease
Somogyi phenomenon -{Answer}- A rebound phenomenon that occurs
in clients with type 1 diabetes mellitus. Normal or elevated blood
glucose levels are present at bedtime; hypoglycemia occurs at about 2 to
3 am. Counterregulatory hormones, glucagon (converted to
glucose )produced to prevent further hypoglycemia, result in
hyperglycemia Treatment includes decreasing the evening (predinner or
bedtime) dose of intermediate acting insulin or increasing the bedtime
snack.
Regular insulin -{Answer}- short acting; onset 15-20 mins peak 1.5 hrs
duration 3-4 hours
NPH insulin -{Answer}- intermediate acting insulin; onset 1.5-3 hrs,
peak 4-12 hours, duration 18-24 hours
low free T4 -{Answer}- requires start of Synthroid
Graded 100% verified)
Romberg test -{Answer}- used to evaluate cerebellar function and
balance
mitral valve prolapse -{Answer}- systolic click heard at apical area, pt
asymptomatic, need echo w/ doppler to confirm dx
Treatment for patient w/ HF -{Answer}- ACE & ARBS in combination
w/ beta blocker & diuretic
paroxysmal atrial tachycardia -{Answer}- rapid, regular contractions of
the atria that begins and ends quickly
Side effect of Calcium Channel Blockers -{Answer}- headache, heart
blocks, bradycardia
apical pulse difference -{Answer}- done when both radial and apical
pulses are checked at same time
For pt w/ emphysema -{Answer}- do not give beta blockers because it
decreases response to bronchodilators
pluses paradoxus -{Answer}- Decrease in systolic blood pressure (by
10mmHG) during inspiration
, S2 sounds -{Answer}- caused by closure of semilunar valve
aortic stenosis murmur -{Answer}- harsh and high pitched, best heard
at the 2nd right intercostal space w/ radiation to carotid arteries
Addisson's disease -{Answer}- findings: hyperpigmentation ,
hyperkalemia, hyponatremia and decrease serum cortisol levels
Hashimoto's disease -{Answer}- an autoimmune disease in which the
body's own antibodies attack and destroy the cells of the thyroid gland;
an enlarged thyroid is first sign of disease
Somogyi phenomenon -{Answer}- A rebound phenomenon that occurs
in clients with type 1 diabetes mellitus. Normal or elevated blood
glucose levels are present at bedtime; hypoglycemia occurs at about 2 to
3 am. Counterregulatory hormones, glucagon (converted to
glucose )produced to prevent further hypoglycemia, result in
hyperglycemia Treatment includes decreasing the evening (predinner or
bedtime) dose of intermediate acting insulin or increasing the bedtime
snack.
Regular insulin -{Answer}- short acting; onset 15-20 mins peak 1.5 hrs
duration 3-4 hours
NPH insulin -{Answer}- intermediate acting insulin; onset 1.5-3 hrs,
peak 4-12 hours, duration 18-24 hours
low free T4 -{Answer}- requires start of Synthroid
