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 :

💎 Hypernatremia is characterized by an elevated sodium level in the blood, which can lead to cellular dehydration and neurological changes.

💎 One of the most effective strategies in managing hypernatremia is reducing sodium intake, especially from processed and packaged foods.

💎 Reading food labels allows clients to identify hidden sources of sodium and make informed dietary choices.

💎 This empowers the client to participate actively in preventing exacerbations of their condition.

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Answer 2

Correct Answers:

Ipratropium.

Rationale :

💎 Bismuth subsalicylate already contains salicylate, and taking it alongside aspirin (another salicylate) increases the risk of GI bleeding.

💎 The combination with tetracycline and metronidazole also increases gastrointestinal irritation.

💎 It is critical to assess the entire medication list to avoid potential drug-drug interactions and complications.

💎 The nurse should intervene before administering the regimen if the client is taking aspirin regularly.

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Answer 3

Correct Answers:

Sputum culture positive for Mycobacterium tuberculosis.

Rationale :

💎 A sputum culture that is positive for Mycobacterium tuberculosis is the gold standard for diagnosing active TB.

💎 This confirms the presence of the organism, unlike skin or blood tests that only indicate exposure.

💎 Accurate diagnosis is essential for starting isolation precautions and appropriate treatment.

💎 A definitive culture result also assists in determining drug sensitivity for TB management.

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Answer 4

Correct Answers:

100

Rationale :

💎 The medication is provided as 500 mg in 100 mL, and the order is to infuse it over 1 hour.

💎 Using dimensional analysis:

100 mL ÷ 1 hour = 100 mL/hr

💎 This ensures the medication is delivered at the correct rate to prevent adverse effects like red man syndrome.

💎 Precise IV pump programming is vital for safe vancomycin administration.

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Answer 5

Correct Answers:

Destruction of helper T-cells and CD4 cells.

Rationale :

💎 HIV targets and destroys CD4+ helper T-cells, weakening the immune response.

💎 The progressive decline in CD4 count renders the body susceptible to opportunistic infections.

💎 Without enough CD4 cells, the immune system cannot coordinate a proper defense.

💎 This mechanism is the primary pathophysiology of HIV progression to AIDS.

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Answer 6

Correct Answers:

Observe the client’s fingers.

Rationale :

💎 Early signs of rheumatoid arthritis (RA) include symmetrical joint inflammation in small joints like those of the fingers.

💎 Swelling, stiffness, and decreased mobility in fingers often appear before other symptoms.

💎 Visual inspection is a non-invasive way to detect early deformities or nodules.

💎 Timely recognition supports early intervention and joint preservation.

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Answer 7

Correct Answers:

Isolate the client from other clients, family, and healthcare workers not wearing proper personal protective equipment (PPE).

Rationale :

💎 Immediate isolation is the first and most important step in infection control for suspected COVID-19.

💎 This prevents exposure to airborne viral particles, protecting others in the healthcare setting.

💎 Isolation must occur before test results are confirmed to reduce spread.

💎 Proper use of PPE is essential for staff safety and public health containment.

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Answer 8

Correct Answers:

Administer a stool softener.

Rationale :

💎 Cataract surgery patients must avoid actions that increase intraocular pressure, such as straining during defecation.

💎 A stool softener helps prevent constipation, reducing the need to strain.

💎 This promotes healing of the surgical site and prevents complications like hemorrhage or lens displacement.

💎 It’s a key part of post-operative teaching after lens implantation.

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Answer 9

Correct Answers:

Review with the client the need to avoid foods that are rich in milk and cream.

Rationale :

💎 While dairy products may feel soothing, they stimulate gastric acid secretion, worsening duodenal ulcers.

💎 Long-standing myths about milk "coating the stomach" have been debunked in clinical practice.

💎 The nurse should correct misconceptions to promote proper ulcer healing.

💎 Effective teaching helps the client avoid symptom exacerbation.

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Answer 10

Correct Answers:

Escort the client to the cafeteria.

Rationale :

💎 Clients with Huntington’s disease often have cognitive decline and motor coordination issues, making navigation difficult.

💎 Escorting ensures physical safety and reduces fall risk.

💎 Step-by-step or visual directions may be confusing due to impaired concentration or judgment.

💎 Direct support helps maintain dignity while ensuring access to necessary services.

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Hesi RN Medical Adult Health-WGU

No.

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

2 :
The healthcare provider prescribes bismuth subsalicylate, metronidazole, tetracycline, and pantoprazole for a client with H. pylori. Prior to administering the H. pylori treatment regimen, the nurse should review the client’s medication list for which medication?

3 :
The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?

4 :
A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is provided in “500 mg per 100 mL of dextrose 5% in water.”. To administer the medication over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

5 :
The nurse is preparing a teaching plan for a group of well-educated clients who were found to be HIV positive within the last year. The nurse should explain that the human immunodeficiency virus (HIV) acts in which way to suppress the immune system?

6 :
Which technique should the nurse use when assessing for early signs of rheumatoid arthritis?

7 :
A client presents to the emergency department with muscle aches, headache, fever, and describes a recent loss of taste and smell. The nurse obtains a nasal swab for COVID-19 testing. Which action is most important for the nurse to take?

8 :
Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with a lens implant?

9 :
Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow-up action by the nurse?

10 :
Which approach is best for the nurse to use when directing a client with Huntington’s disease to the hospital cafeteria?

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Hesi RN Medical Adult Health-WGU

No.

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

2 : The healthcare provider prescribes bismuth subsalicylate, metronidazole, tetracycline, and pantoprazole for a client with H. pylori. Prior to administering the H. pylori treatment regimen, the nurse should review the client’s medication list for which medication?

3 : The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?

4 : A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is provided in “500 mg per 100 mL of dextrose 5% in water.”. To administer the medication over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

5 : The nurse is preparing a teaching plan for a group of well-educated clients who were found to be HIV positive within the last year. The nurse should explain that the human immunodeficiency virus (HIV) acts in which way to suppress the immune system?

6 : Which technique should the nurse use when assessing for early signs of rheumatoid arthritis?

7 : A client presents to the emergency department with muscle aches, headache, fever, and describes a recent loss of taste and smell. The nurse obtains a nasal swab for COVID-19 testing. Which action is most important for the nurse to take?

8 : Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with a lens implant?

9 : Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow-up action by the nurse?

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

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

2 :
The healthcare provider prescribes bismuth subsalicylate, metronidazole, tetracycline, and pantoprazole for a client with H. pylori. Prior to administering the H. pylori treatment regimen, the nurse should review the client’s medication list for which medication?

3 :
The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?

4 :
A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is provided in “500 mg per 100 mL of dextrose 5% in water.”. To administer the medication over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

5 :
The nurse is preparing a teaching plan for a group of well-educated clients who were found to be HIV positive within the last year. The nurse should explain that the human immunodeficiency virus (HIV) acts in which way to suppress the immune system?

6 :
Which technique should the nurse use when assessing for early signs of rheumatoid arthritis?

7 :
A client presents to the emergency department with muscle aches, headache, fever, and describes a recent loss of taste and smell. The nurse obtains a nasal swab for COVID-19 testing. Which action is most important for the nurse to take?

8 :
Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with a lens implant?

9 :
Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow-up action by the nurse?

10 :
Which approach is best for the nurse to use when directing a client with Huntington’s disease to the hospital cafeteria?