RN Hesi Exam Study Solution Question Fully Solved 100% Correct.

Impetdaiper Brain Natriuretic Peptide (BNP)correct answer Normal: <100 Elevated levels indicate CHF apixaban (Eliquis)correct answer used to treat pulmonary emboli Direct oral anticoagulant Causes of non-cardiogenic pulmonary edemacorrect answer IS NOT THE HEART I nhaled Toxins (Ammonia, Chlorine, Phosgene, Nitrous oxide) S IRS / Sepsis / Septic Shock N eurogenic (seizure, strangulation, trauma, SAH) O verdose (Heroin, methadone, cocaine) T hyrotoxicosis T rauma H eat (Smoke! Remember to also consider carbon monoxide!) E lectrocution H igh altitude pulmonary edema E mbolism (clot, air, amniotic fluid, fat), E clampsia A SA toxicity (also opiates, TCA, amiodarone) R eperfusion or Re-expansion pulmonary edema (or Rocky Mountain Spotted Fever*) T ransfusion Folliculitiscorrect answer infections of the hair follicles Impetigocorrect answer bacterial skin infection characterized by isolated pustules that become crusted and rupture Diaper Dermatitiscorrect answer Red, moist, maculopapular patch with poorly defined borders in diaper area, extending along inguinal and gluteal folds. History of infrequent diaper changes or occlusive coverings. Inflammatory disease caused by skin irritation from ammonia, heat, moisture, occlusive diapers. seborrheic dermatitiscorrect answer an inflammation that causes scaling and itching of the upper layers of the skin or scalp caused by overgrowth of yeast Transverse Colostomycorrect answer transverse colon (usually temporary). ostomy return is firm, very foul odor, pouch is worn continuously transverse colostomy locationcorrect answer middle upper quadrant between the liver and the spleen tracheoesophogeal fistulacorrect answer Newborn presents with vomiting immediately following the first feeding, the abdomen is distended and the infant had to have the lungs suctioned due to aspiration -what is the most likely diagnosis? Stages of tracheoesophogeal fistula repair: Nursing teachingcorrect answer 1st: insert g-tube- feedings 2nd: introduce oral feeding Etanercept (Enbrel)correct answer Disease-modifying antirheumatic drug (DMARD). Interrupts complex immune responses, preventing disease progression. Uses: slow joint degeneration and progression of rheumatoid arthritis. Etanercept black box warningscorrect answer infections increased malignancies thrombolytic therapycorrect answer administering medication to dissolve blood clot and restore normal circulation delusions of grandeurcorrect answer A false belief that one is a famous person or a powerful or important person who has some great knowledge, ability, or authority. s/s of chronic pancreatitiscorrect answer -Remissions and Exacerbations -LUQ Pain -Anorexia/Wt Loss -Malabsorption -Diabetes Mellitus -abdominal tenderness -flatulence -recurrent epigastric pain that radiates to the left lumbar region use of Ace inhibitor and allopurinol together increase risk ofcorrect answer ototoxicity Gestational Trophoblastic Disease (GTD)correct answer a group of pregnancy-related trophoblastic proliferative disorders without a viable fetus that are caused by abnormal fertilization. Digoxin (Lanoxin)correct answer cardiac stimulant and diuretic monitor for hypokalemia Palivizumab (Synagis)correct answer *MoA: neutralizing and fusion-inhibition against RSV, inhibits RSV replication in lab and clinical studies *PK: half-life 24.5 days *ADR: fever, rash *Monitoring: anaphylaxis respiratory acidosiscorrect answer A drop in blood pH due to hypoventilation (too little breathing) and a resulting accumulation of Co2. S&S of Hypothyroidismcorrect answer a lowered basal metabolism rate with obesity, dry itchy skin, slow pulse, fluid retention and edema hoareness, sluggishness, and goiter, decreased b/p ,slowed heart rate, respiratory rate, fatigue, cold intolerance and weight gain.