Remembered HESI topics With Scored A Answers

Three days after a cholecystectomy for cholelithiasis, a female client complains of persistent upper abdominal pain that radiates to the back. She has vomited __ times in the last 12 hours and has a temp of 101.8 degrees F. Serum amylase and lipase are twice the normal values. Based on these findings, the nurse should observe the client for which pathophysiological condition? - ANSWER-pancreatitis It is common to get ____ after gallbladder removal - ANSWER-pancreatitis most common cause for acute pancreatitis - ANSWER-Cholithiasis symptoms of acute _____: upper abdominal pain that radiates to back; vomiting; low grade fever ; higher than normal levels of lipase and amylase - ANSWER-pancreatitis A client who is diagnosed with Cushing's syndrome is admitted for modification of a drug treatment regime. Which finding in the client's electronic medical record is to have contributed to this syndrome? - ANSWER-- Excess of PTH stimulates bone resorption. - too much of the hormone cortisol over a long period of time (prolonged exposure of the body's tissues to high levels of the hormone cortisol) - Decline in serum glucose level - Fluid retention? A client is admitted to the emergency department with symptoms of arm numbness, chest pain, and nausea/vomiting. The examining healthcare provider believes that the client has experienced an acute myocardial infarction (AMI) within the past three hours, and would initiate tissue plasminogen activator (TPA) therapy. Which client history contraindicate the use of TPA? - ANSWER-Brain trauma/head injury/intracranial damage/hemorrhage/stroke within the past 6 months or year a protein involved in the breakdown of blood clots - ANSWER-tPA A client with hypercalcemia reports lower leg pain and feelings of confusion. The nurse initiates cardiac monitoring and begins to assess the client. Which finding should the nurse report to the healthcare provider immediately? - ANSWER-Swelling/warmth/pain on movement of lower leg is the answer