Nsg 223 Hesi Final 55 Correctly Answered Questions Latest Update

Stroke- Dysphagia {Ans: -Difficulty swallowing due to impaired function of the mouth, tongue, palate, pharynx and upper esophagus -malnutrition, dehydration and infection are common -inability to eat at a normal speed w/o coughing or choking -risk for aspiration, pneumonia -patient must be observed for coughing, food dribbling, pooling in mouth -tuck chin to chest when swallowing -thick liquids/ pureed foods - no straws}Benign vs. Neoplasm {Ans: Normal (benign) --> not cancerous -regulated cell division -do not migrate -small round nucleus Cancer (Neoplasm)---> Cancerous cells -abnormal cell growth -metastasized --> move around -large irregular shape nucleus}diabetes insipidus {Ans: -Hypernatremia b/c blood is super concentrated with sodium -peeing excessively (low urine osmolality) - drink tons of water - desmopressin -hypotensive & tachycardic}pulmonary embolism (PE) {Ans: First Priority= Oxygen, keep the patient ventilated Pharmacological Management: Heparin Patient will have respiratory acidosis on ABG & Hypoxia}cardiomyopathy {Ans: S/S similar the CHF - Extra heart sounds - Cough - Orthopnea (SOB while lying flat) - chest pain Treatment - Anticoagulants - Diuretics Risk - pregnancy -alcohol Nursing Intervention - Sit with legs hanging down-pulls water down}If patient is complaining of chest pain and trouble breathing, 1st action by the RN?