Question

Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?

Answer 1

Correct Answers:

Review food labels for sodium content.

Rationale :

🔹 Clients with hypernatremia must limit sodium intake to prevent worsening fluid imbalance.

🔹 Reading food labels allows identification of hidden sodium sources in processed and canned foods.

🔹 Preventing further sodium excess is essential for maintaining normal fluid volume and neurologic function.

🔹 Early intervention through dietary control reduces risk of complications like seizures or coma.

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Answer 2

Correct Answers:

High levels of carbon dioxide have accumulated in the blood.

Rationale :

🔹 Respiratory acidosis results from inadequate ventilation, leading to CO₂ retention.

🔹 This causes a decrease in blood pH, producing an acidotic state.

🔹 CO₂ buildup affects cerebral perfusion and respiratory drive, worsening the client’s condition.

🔹 Identifying and treating the cause of hypoventilation is key to reversing the acidosis.

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Answer 3

Correct Answers:

Administer a PRN IV antiemetic as prescribed.

Rationale :

🔹 Projectile vomiting in a client with neurologic symptoms suggests increased intracranial pressure (ICP).

🔹 Giving an IV antiemetic helps control vomiting and prevent aspiration or increased ICP.

🔹 Immediate symptom control is essential before conducting a full neurological evaluation.

🔹 Stabilizing the client’s condition takes priority in emergency neurological care.

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Answer 4

Correct Answers:

Improved mental status.

Rationale :

🔹 Lactulose reduces blood ammonia levels by trapping ammonia in the stool.

🔹 In hepatic encephalopathy, the primary goal is improved cognitive function.

🔹 The medication’s effectiveness is best observed through mental status improvements, not bowel frequency.

🔹 Neurological changes reflect liver function recovery and toxin clearance.

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Answer 5

Correct Answers:

Escort the client to the cafeteria.

Rationale :

🔹 Clients with Huntington's disease often experience motor instability and cognitive impairment.

🔹 Direct supervision prevents injury and reduces anxiety related to disorientation.

🔹 Escorting ensures both safety and successful navigation to the desired location.

🔹 Providing independence support with safety is key in neurodegenerative disorders.

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Answer 6

Correct Answers:

Advise the client that healing typically takes several weeks to occur.

Rationale :

🔹 Erosive esophagitis caused by GERD takes weeks to heal, even with proper PPI therapy like lansoprazole.

🔹 Reassurance and education help set realistic expectations and improve adherence.

🔹 Abruptly changing medication is unnecessary if the expected timeline is misunderstood.

🔹 Patience with therapy leads to better long-term outcomes.

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Answer 7

Correct Answers:

Topical corticosteroids.

Rationale :

🔹 Psoriasis involves chronic inflammation of the skin and overproduction of keratinocytes.

🔹 Topical corticosteroids reduce inflammation, itching, and scaling.

🔹 They are the first-line treatment for localized psoriasis flares.

🔹 Regular use leads to resolution of plaques and decreased discomfort.

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Answer 8

Correct Answers:

For long-term control of normal eye pressure.

Rationale :

🔹 Open-angle glaucoma requires lifelong management to prevent optic nerve damage.

🔹 Eye drops help maintain intraocular pressure within a normal range.

🔹 Stopping treatment risks irreversible vision loss.

🔹 Education on consistent medication adherence is essential.

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Answer 9

Correct Answers:

Increase the daily intake of oral fluids to liquefy secretions.

Rationale :

🔹 Clients with asthma and bronchitis often struggle with thick mucus secretions.

🔹 Oral hydration thins secretions, making airway clearance easier.

🔹 Improved clearance enhances oxygenation and reduces infection risk.

🔹 It is a simple, effective first-line intervention in chronic respiratory care.

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Answer 10

Correct Answers:

Severity of nausea and vomiting and serum amylase results.

Rationale :

🔹 Pancreatitis is characterized by elevated amylase/lipase and severe abdominal symptoms.

🔹 These findings directly reflect pancreatic inflammation and function.

🔹 Reporting lab values and symptom severity allows for timely diagnosis and treatment.

🔹 Monitoring pancreatic enzyme levels guides progression and response to therapy.

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Hesi RN Adult Health I WGU~D444 Exam I

No.

1 :
Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?

2 :
A client who is experiencing respiratory distress is admitted with respiratory acidosis. Which pathophysiological process supports the client's respiratory acidosis?

3 :
A client with multiple sclerosis (MS) fell while walking to the bathroom. Upon transfer to the intensive care unit, the client is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?

4 :
A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

5 :
Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?

6 :
A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

7 :
A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

8 :
A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

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Hesi RN Adult Health I WGU~D444 Exam I

No.

1 : Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?

2 : A client who is experiencing respiratory distress is admitted with respiratory acidosis. Which pathophysiological process supports the client's respiratory acidosis?

3 : A client with multiple sclerosis (MS) fell while walking to the bathroom. Upon transfer to the intensive care unit, the client is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?

4 : A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

5 : Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?

6 : A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

7 : A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

8 : A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

1 :
Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?

2 :
A client who is experiencing respiratory distress is admitted with respiratory acidosis. Which pathophysiological process supports the client's respiratory acidosis?

3 :
A client with multiple sclerosis (MS) fell while walking to the bathroom. Upon transfer to the intensive care unit, the client is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?

4 :
A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

5 :
Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?

6 :
A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

7 :
A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

8 :
A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?