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HESI Practice Exam . Questions with 100% Accurate & Verified Answers. GUARANTEED A+ GRADE.

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HESI Practice Exam . Questions with 100% Accurate & Verified Answers. GUARANTEED A+ GRADE. A 43-year-old female patient is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the patient to report promptly to the healthcare provider? A) Tinnitus and dizziness. B) Tachycardia and chest pain. C) Dry skin and intolerance to cold. D) Weight gain and increased appetite. - AccurateAnswer:B. Thyroid replacement hormone increases the metabolic rate of all tissues, so common signs and symptoms of toxicity include tachycardia and chest pain (B). (A, C, and D) do not indicate a thyroid hormone toxicity. A category X medication is prescribed for a young adult female patient. Which instruction is most important for the nurse to teach this patient? A) Use a reliable form of birth control. B) Avoid exposure to ultra violet light. C) Refuse this medication if planning pregnancy. D) Abstain from intercourse while on this medication. - AccurateAnswer:A. Medications classified in the category X place a patient who is in the first trimester of pregnancy at risk for teratogenesis, so women in the childbearing years should be counseled to use a reliable form of birth control (A) during medication therapy. (B) is not a specific precaution with Category X medications. The patient should be encouraged to discuss plans for pregnancy with the healthcare provider, so a safer alternative prescription (C) can be provided if pregnancy occurs. Although the risk of birth defects during pregnancy explains the restriction of these medications during pregnancy, (D) is not indicated. A patient asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should the nurse provide? A. Yes it is an oral insulin and has the same actions and properties as intermediate insulin B. Yes, it is an oral insulin and is allocated, metabolized, and excreted in the same manner as insulin C. No it is not an oral insulin and can be used only when some beta cell function is present D. No, it is not an oral insulin, but it is effective for those who are resistant to injectable insulins - AccurateAnswer:C A patient has a continuous IV infusion of dopamine and an IV of normal saline at 50ml/hour. The nurse noes that the patient's urinary output has been 20ml/hour for the last two hours. Which intervention should the nurse initiate? A. stop the infusion of dopamine B. change the normal saline to a keep open rate C. replace the urinary catheter D. notify the healthcare provider of the urinary output. - AccurateAnswer:D. A patient has myxedema, which results from a deficiency of thyroid hormone synthesis in adults. The nurse knows that which medication should be contraindicated for this patient? A. liothyronine (cytomel) to replace iodine B. Furosemide (Lasix) for relief of fluid retention C. Pentobarbital sodium for sleep D. nitroglycerin for angina pain - AccurateAnswer:C. persons with myxedema are dangerously hypersensitive to narcotics, barbiturates, and anesthetics. They do not tolerate liothyronine and usually receive iodine replacement therapy. These patients are also suceptable to heart problems such as angina for which nitroglycerine would be indicated and and congestive heart failure for which furosemide would be indicated A patient is admitted to the coronary care unit with a medical diagnosis of acute myocardial infarction. which medication prescription decreases both preload and afterload a. nitroglycerin b. propranolol c. propranolol d. captopril - AccurateAnswer:A. nitroglycerin is a nitrate that causes peripheral vasodilation and decreases contractility, thereby decreasing both preload and afterload A patient is admitted to the clinic for diagnostic testing for possible myasthenia gravis. The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is the expected outcome for this patient following administration of this pharmacologic agent? A) Progressive difficulty with swallowing. B) Decreased respiratory effort. C) Improvement in generalized fatigue. D) Decreased muscle weakness. - AccurateAnswer:D. Administration of edrophonium chloride (Tensilon), a cholinergic agent, will temporarily reduce muscle weakness (D), the most common complaint of newly-diagnosed patients with myasthenia gravis. This medication is used to diagnose myasthenia gravis due to its short duration of action. This medication would temporarily reverse (A and B), not increase these symptoms. (C) is not a typical complaint of patients with myasthenia gravis, but weakness of specific muscles, especially after prolonged use, is a common symptom.

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