Hesi Medsurg Rn Newest 2024/2025 Questions And Correct Detailed Answers (Verified Answers) With Appropriate Rationales ||Complete A+ Guide

Hesi Medsurg Rn Newest 2024/2025 Questions And Correct

Detailed Answers (Verified Answers) With Appropriate

Rationales ||Complete A+ Guide




1. An ER nurse is completing an assessment on a patient that is alert but
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m struggles to answer questions. When she attempts to talk, she slurs her
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m speech and appears very frightened. What additional clinical
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mmanifestation does the nurse expect to find if nacy's symptoms have been
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m caused by a brain attack (stroke)?
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A. A carotid bruit
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B. A hypotensive blood pressure
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C. hyperreflexic deep tendon reflexes.
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D. Decreased bowel sounds
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…Ans>> A) A carotid bruit.
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1 m/ m
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,Rationale: the carotid artery (artery to the brain) is narrowed in clients with a brain
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m attack. A bruit is an abnormal sound heard on auscultation resulting from
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m interference with normal blood flow. Usually the blood pressure is hypertensive.
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m Initially flaccid paralysis occurs, resulting in hyporefkexic deep tendon reflexes.
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m Bowel sounds are not indicative of a brain attack.
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2. Which clinical manifestation further supports an assessment of a left-sided
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m brain attack?
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A) Visual field deficit on the left side.
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B) Spatial-perceptual deficits. m




C) Paresthesia of the left side. m m m m




D) Global aphasia. m




D) Global aphasia.
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…Ans>> D) Global aphasia. mm m m




Rationale: Global aphasia refers to difficulty speaking, listening, and understanding, as
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m well as difficulty reading and writing. Symptoms vary from person to person.
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Aphasia may occur secondary to any brain injury involving the left hemisphere. Visua
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field deficits, spatial-perceptual deficits, and paresthsia of the left side usually occur with
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m right-sided brain attack. m m




3. When preparing a patient for a noncontrast computed tomography
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2 m/ m
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,(CT) scan STAT, what nursing intervention should the nurse
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m implement?

A) Determine if the client has any allergies to iodine
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B) Explain that the client will not be able to move her head throughout the
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CT scan.
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C) Premedicate the client to decrease pain prior to having the procedure.
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D) Provide an explanation of relaxation exercises prior to the procedure.
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…Ans>> B) Explain that the client will not be able to move her head throughout
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m the CT scan.
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3 m/ m
138

, Rationale: Because head motion will distort the images, Nancy will have to remain
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m still throughout the procedure. Allergies to iodine is important if contrast dye is being
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m used for the CT scan. Premedicating the client to decrease pain prior to
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the procedure is unnecessary because CT scanning is a noninvasive and painless
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m procedure. Providing an explanation of relaxation exercises prior to the procedure is
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m a worthwhile intervention to decrease anxiety but is not of highest priority.
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4. A neurologist prescribes a magnetic resonance imaging (MRI) of the head
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m STAT for a patient. Which data warrants immediate intervention by the
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m nurse concerning this diagnostic test?
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A) Elevated blood pressure. m m




B) Allergy to shell fish. m m m




C) Right hip replacement. m m




D) History of atrial fibrillation. m m m




…Ans>> C) Right hip replacement. mm m m m




Rationale: The magnetic field generated by the MRI is so strong that metal-containing
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m items are strongly attracted to the magnet. Because the hip joint is made of metal, a
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m lead shield must be used during the procedure. Elevated blood pressure, an allergy to
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m shell fish, and a history of atrial fibrillation would not affect the MRI.
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5. A client's daughter is sitting by her mother's bedside who was recently
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4 m/ m
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