CHARLES DANIEL HESI CASE STUDY |COMPLETE SET QUESTIONS
WITH ANSWERS 2025 LATEST UPDATED
1. What risk factors in the client's history predispose him to stroke? - (answers)-Male gender
-History of transient ischemic attack
-African american
-Obese & hypertensive
2. Based on Charles' history, what is the most significant piece of information that warrants a
more thorough investigation by the nurse? - (answers)-Charles sometimes forgets to take his
antihypertensive medications
3. Within 10 minutes of being transported to the ED, Charles begins to experience an episode of
blindness in his right eye, loss of sensation in his right hand, and the inability to speak clearly.
眼睛”主题的中文文章？
Which nursing action has highest priority? - (answers)-Monitor blood pressure
4. Based on his presenting symptoms, the nurse suspects that Charles has suffered left-sided
brain damage. What other observation would support this assessment? - (answers)-Inability to
understand speech and simple math questions
-Slow, cautious behavior and anxiety
-Slurred speech and aphasia
5. Which nursing observations are consistent with ischemic rather than hemorrhagic stroke? -
(answers)-History of transient ischemic attack
, -Often occurs during or after sleep
-Sudden onset with progression of symptoms over hours
-No loss of consciousness in the first 24 hr
6. Based on Charles' weight of 245 lbs, what it the total dose for the rtPA infusion? -
(answers)=90
245 lbs/2.2=111.36 x 0.9 mg = 100.22 mg, rounded to 100.2 mg. Since the max dose is 90 mg,
the correct answer is 90 (the maximum dose)
7. Based on Charles' weight, the total dose for the rtPA infusion is 90 mg. The pharmacy sends an
IVPB of 250 mL NS containing 150 mg of rtPA. How many milliliters of this fluid would be the
total dose? - (answers)=150
150 mg/250 mL :: 90 mg/X mL = 22500 mg/150 mL = 150 mL
眼睛”主题的中文文章？
8. Charles is to receive 10% of the total dose bolus over 20 minutes. What hourly rate will the
nurse set the pump to deliver this dose over a 20 minute period? - (answers)=45
10% of 150 mL = 15 mL
15 mL/20 min x 60 min/hr = 45 mL/hour
9. The remainder of the rtPA dose is to infuse over an hour. What is the rate that the nurse will set
the pump in order to deliver the remaining dose? - (answers)=150
total dose in mL 167 mL - bolus of 17 mL = 150 mL to be infused in one hour
WITH ANSWERS 2025 LATEST UPDATED
1. What risk factors in the client's history predispose him to stroke? - (answers)-Male gender
-History of transient ischemic attack
-African american
-Obese & hypertensive
2. Based on Charles' history, what is the most significant piece of information that warrants a
more thorough investigation by the nurse? - (answers)-Charles sometimes forgets to take his
antihypertensive medications
3. Within 10 minutes of being transported to the ED, Charles begins to experience an episode of
blindness in his right eye, loss of sensation in his right hand, and the inability to speak clearly.
眼睛”主题的中文文章？
Which nursing action has highest priority? - (answers)-Monitor blood pressure
4. Based on his presenting symptoms, the nurse suspects that Charles has suffered left-sided
brain damage. What other observation would support this assessment? - (answers)-Inability to
understand speech and simple math questions
-Slow, cautious behavior and anxiety
-Slurred speech and aphasia
5. Which nursing observations are consistent with ischemic rather than hemorrhagic stroke? -
(answers)-History of transient ischemic attack
, -Often occurs during or after sleep
-Sudden onset with progression of symptoms over hours
-No loss of consciousness in the first 24 hr
6. Based on Charles' weight of 245 lbs, what it the total dose for the rtPA infusion? -
(answers)=90
245 lbs/2.2=111.36 x 0.9 mg = 100.22 mg, rounded to 100.2 mg. Since the max dose is 90 mg,
the correct answer is 90 (the maximum dose)
7. Based on Charles' weight, the total dose for the rtPA infusion is 90 mg. The pharmacy sends an
IVPB of 250 mL NS containing 150 mg of rtPA. How many milliliters of this fluid would be the
total dose? - (answers)=150
150 mg/250 mL :: 90 mg/X mL = 22500 mg/150 mL = 150 mL
眼睛”主题的中文文章？
8. Charles is to receive 10% of the total dose bolus over 20 minutes. What hourly rate will the
nurse set the pump to deliver this dose over a 20 minute period? - (answers)=45
10% of 150 mL = 15 mL
15 mL/20 min x 60 min/hr = 45 mL/hour
9. The remainder of the rtPA dose is to infuse over an hour. What is the rate that the nurse will set
the pump in order to deliver the remaining dose? - (answers)=150
total dose in mL 167 mL - bolus of 17 mL = 150 mL to be infused in one hour
