MSN 570 HESI ADVANCE PATHO| QUESTIONS WITH COMPLETE SOLUTIONS

Romberg test Correct Answer: used to evaluate cerebellar function and balance mitral valve prolapse Correct Answer: systolic click heard at apical area, pt asymptomatic, need echo w/ doppler to confirm dx Treatment for patient w/ HF Correct Answer: ACE & ARBS in combination w/ beta blocker & diuretic paroxysmal atrial tachycardia Correct Answer: rapid, regular contractions of the atria that begins and ends quickly Side effect of Calcium Channel Blockers Correct Answer: headache, heart blocks, bradycardia apical pulse difference Correct Answer: done when both radial and apical pulses are checked at same time For pt w/ emphysema Correct Answer: do not give beta blockers because it decreases response to bronchodilators pluses paradoxus Correct Answer: Decrease in systolic blood pressure (by 10mmHG) during inspiration S2 sounds Correct Answer: caused by closure of semilunar valve aortic stenosis murmur Correct Answer: harsh and high pitched, best heard at the 2nd right intercostal space w/ radiation to carotid arteries Addisson's disease Correct Answer: findings: hyperpigmentation , hyperkalemia, hyponatremia and decrease serum cortisol levels Hashimoto's disease Correct 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 Correct 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 Correct Answer: short acting; onset 15-20 mins peak 1.5 hrs duration 3-4 hours