Question

A male client, newly diagnosed with idiopathic epilepsy, is preparing for discharge from the hospital. Which instruction should the nurse provide to the client and his family prior to discharge?

Answer 1

Correct Answers:

Investigate local state laws related to operating a motor vehicle.

Rationale :

🔷 State laws regulate driving Many states require individuals with epilepsy to be seizure-free for a set period before obtaining or keeping a driver’s license.

🔷 Ensures safety Understanding these laws protects the client and others from potential accidents caused by seizures while driving.

🔷 Legal responsibility Following state driving regulations prevents license suspension and legal issues.

🔷 Nursing education role Nurses must ensure patients and families are informed about activity restrictions related to the condition.

🔷 Supports independence Knowing when driving is legally permitted allows safe return to normal activities.

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Answer 2

Correct Answers:

A dark purplish colored stoma.

Rationale :

🔷 Healthy stoma is pink/red A bright red, moist stoma shows adequate blood supply and is normal after surgery.

🔷 Purple stoma signals ischemia dark purplish stoma indicates compromised blood flow and potential necrosis.

🔷 Urgent complication Ischemia can lead to tissue death, making this a priority finding to report immediately.

🔷 Requires immediate intervention The provider must assess for vascular compromise to prevent permanent damage.

🔷 Surgical issue risk Tension on the stoma or poor vascular perfusion is often the cause and may need urgent correction.

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Answer 3

Correct Highlights :

generalized fatigue
Mild headache
Ringing in ears described as "roaring."
Mild anorexia with 8 lb (3.6 kg) unintentional weight loss over 2 months
chronic dysmenorrhea with heavy menstrual bleeding
Uterus is palpated one finger breadth above pubic symphysis.

Rationale :

🔷 The client’s generalized fatigue, mild headache, and ringing in the ears ("roaring") suggest decreased oxygen delivery to tissues, which is a hallmark of iron-deficiency anemia secondary to chronic blood loss.

🔷 The tachycardia (heart rate 105 beats/min) indicates a compensatory cardiovascular response to low hemoglobin levels, as the heart works harder to circulate oxygenated blood.

🔷 Mild anorexia with 8 lb (3.6 kg) unintentional weight loss over 2 months points to nutritional deficiency or increased metabolic demand caused by chronic illness or anemia.

🔷 Chronic dysmenorrhea with heavy menstrual bleeding is the most likely source of chronic blood loss, leading to iron depletion.

🔷 A palpable uterus one finger breadth above the pubic symphysis suggests possible uterine enlargement (e.g., fibroids), which can exacerbate menorrhagia, further contributing to iron-deficiency anemia.

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Answer 4

Correct Answers

Can be caused by malabsorption syndrome [ Vitamin B12 deficiency anemia ; Folic acid deficiency anemia ]
Decreased hemoglobin and hematocrit levels [ Vitamin B12 deficiency anemia ; Folic acid deficiency anemia ; Iron deficiency anemia ]
Result of dietary deficiency [ Vitamin B12 deficiency anemia ; Folic acid deficiency anemia ; Iron deficiency anemia ]
Uptake often impeded by medications [ Vitamin B12 deficiency anemia ; Folic acid deficiency anemia ]
Often associated with chronic alcoholism [ Folic acid deficiency anemia ]

Rationale :

🔷 Malabsorption syndrome is a common cause of Vitamin B12 deficiency anemia (e.g., pernicious anemia, gastric bypass) and Folic acid deficiency anemia (intestinal malabsorption), but not typical in iron deficiency anemia, which is usually due to blood loss.

🔷 Decreased hemoglobin and hematocrit levels occur in all three anemias because they share a common outcome—reduced red blood cell production or loss, leading to impaired oxygen transport.

🔷 Dietary deficiency can result in any of the three: Vitamin B12 deficiency (strict vegan diet), Folic acid deficiency (poor nutrition), and Iron deficiency anemia (low iron intake or chronic blood loss with inadequate replacement).

🔷 Uptake impeded by medications is typical for Vitamin B12 deficiency (proton pump inhibitors, metformin) and Folic acid deficiency (methotrexate, anticonvulsants) but not for iron, which is more affected by diet or bleeding.

🔷 Chronic alcoholism is strongly linked to Folic acid deficiency anemia due to poor dietary intake, impaired folate metabolism, and direct toxic effects on bone marrow.

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Answer 5

Correct Answers:

14

Rationale :

🔷 Step 1: Calculate dose per minute

8mcg×60kg=480mcg/min

🔷 Step 2: Convert to mg per hour

480 mcg/min×60=28,800 mcg/hr=28.8 mg/hr

🔷 Step 3: Determine concentration of the IV solution

500 mg÷250 mL=2 mg/mL

🔷 Step 4: Calculate mL per hour

28.8 mg/hr÷2 mg/mL=14.4 mL/h

🔷 Step 5: Round to nearest whole number=14

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Answer 6

Correct Answers:

Monitor urinary stream for decreased output.

Rationale :

🔷 Hydronephrosis can worsen post-procedure if urinary obstruction persists.

🔷 Decreased output indicates possible obstruction or renal dysfunction.

🔷 Early detection prevents permanent kidney damage.

🔷 Essential post-pyelogram monitoring to ensure urinary tract patency.

🔷 Baseline comparison with pre-procedure output helps guide interventions.

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Answer 7

Correct Answers:

Moderate to high fiber intake helps to manage constipation and diarrhea.

Rationale :

🔷 Fiber improves stool consistency, helping both diarrhea and constipation in IBS.

🔷 Soluble fiber regulates bowel movements by slowing digestion.

🔷 Gradual fiber increase prevents bloating and discomfort.

🔷 Long-term diet modification is a primary IBS management strategy.

🔷 Promotes gut microbiome health, reducing flare-ups.

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Answer 8

Correct Answers:

Shortness of breath that increases when lying down.

Rationale :

🔷 Orthopnea is a hallmark sign of left-sided heart failure, caused by pulmonary congestion.

🔷 Fluid redistribution worsens dyspnea in supine position, requiring POC adjustments.

🔷 Significance indicates worsening cardiac function and potential for pulmonary edema.

🔷 Directly impacts nursing interventions like oxygen therapy and head elevation.

🔷 Guides diuretic therapy and fluid management.

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Answer 9

Correct Answers:

Complete blood count.

Rationale :

🔷 AIHA involves red blood cell destruction, so hemoglobin and hematocrit levels are critical.

🔷 CBC monitors for hemolysis severity and treatment response to glucocorticoids.

🔷 Falling RBC count may explain increasing weakness and fatigue.

🔷 Reticulocyte count in CBC can indicate bone marrow compensation.

🔷 Ongoing monitoring guides adjustments in therapy.

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Answer 10

Correct Answers:

Length of capillary refill.

Rationale :

🔷 Capillary refill assesses peripheral perfusion, which is critical in heart failure with tachycardia.

🔷 Increased heart rate (158 bpm) may indicate decreased cardiac output, making perfusion assessment essential.

🔷 Delayed refill can indicate worsening heart failure or hypoperfusion.

🔷 Early detection helps prevent organ dysfunction from poor circulation.

🔷 Quick bedside assessment guides urgency of interventions.

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Statements	Vitamin B12 deficiency anemia	Folic acid deficiency anemia	Iron deficiency anemia
Can be caused by malabsorption syndrome
Decreased hemoglobin and hematocrit levels
Result of dietary deficiency
Uptake often impeded by medications
Often associated with chronic alcoholism

RN HESI Medsurg Nursing 1 Exam 2(HU NSG123/128)

No.

1 :
A male client, newly diagnosed with idiopathic epilepsy, is preparing for discharge from the hospital. Which instruction should the nurse provide to the client and his family prior to discharge?

2 :
Following an ileal conduit urinary diversion. a client voices several concerns. Which finding indicates to me ruse that the experiencing a complication?

3 :
A 36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity.

Correct Highlights :

4 :
A 36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity.

Correct Answers

5 :
A client who weighs 60 kg receives a prescription for dobutamine 8 mcg/kg/min IV. The IV bag contains dobutamine 500 mg in 250 ml DSW How many mL/hour should the nurse program the infusion pump? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

6 :
A client with right hydronephrosis and a history of renal calculi is preparing for discharge following a retr6grade pyelogram. Which should the nurse include in the client's discharge instructions?

7 :
The nurse providing teaching to a client with a new diagnosis of irritable bowel syndrome (IBS). Which information should the nurse include in the teaching plan?

8 :
A client is admitted to the hospital with a diagnosis of left sided heart failure (HE). When obtaining the client’s health history, which information is most significant in determining a plan of care (POC)?

9 :
The nurse is caring for a client with chronic lymphocytic leukemia (CLL) who has developed autoimmune hemolytic anemia (AIHA). The client is receiving glucocorticoid therapy and reports increasing weakness and fatigue. Which laboratory value should the nurse review?

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RN HESI Medsurg Nursing 1 Exam 2(HU NSG123/128)

No.

1 : A male client, newly diagnosed with idiopathic epilepsy, is preparing for discharge from the hospital. Which instruction should the nurse provide to the client and his family prior to discharge?

2 : Following an ileal conduit urinary diversion. a client voices several concerns. Which finding indicates to me ruse that the experiencing a complication?

3 : A 36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity.

Correct Highlights :

4 : A 36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity.

Correct Answers

5 : A client who weighs 60 kg receives a prescription for dobutamine 8 mcg/kg/min IV. The IV bag contains dobutamine 500 mg in 250 ml DSW How many mL/hour should the nurse program the infusion pump? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

6 : A client with right hydronephrosis and a history of renal calculi is preparing for discharge following a retr6grade pyelogram. Which should the nurse include in the client's discharge instructions?

7 : The nurse providing teaching to a client with a new diagnosis of irritable bowel syndrome (IBS). Which information should the nurse include in the teaching plan?

8 : A client is admitted to the hospital with a diagnosis of left sided heart failure (HE). When obtaining the client’s health history, which information is most significant in determining a plan of care (POC)?

9 : The nurse is caring for a client with chronic lymphocytic leukemia (CLL) who has developed autoimmune hemolytic anemia (AIHA). The client is receiving glucocorticoid therapy and reports increasing weakness and fatigue. Which laboratory value should the nurse review?

1 :
A male client, newly diagnosed with idiopathic epilepsy, is preparing for discharge from the hospital. Which instruction should the nurse provide to the client and his family prior to discharge?

2 :
Following an ileal conduit urinary diversion. a client voices several concerns. Which finding indicates to me ruse that the experiencing a complication?

3 :
A 36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity.

4 :
A 36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity.

5 :
A client who weighs 60 kg receives a prescription for dobutamine 8 mcg/kg/min IV. The IV bag contains dobutamine 500 mg in 250 ml DSW How many mL/hour should the nurse program the infusion pump? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

6 :
A client with right hydronephrosis and a history of renal calculi is preparing for discharge following a retr6grade pyelogram. Which should the nurse include in the client's discharge instructions?

7 :
The nurse providing teaching to a client with a new diagnosis of irritable bowel syndrome (IBS). Which information should the nurse include in the teaching plan?

8 :
A client is admitted to the hospital with a diagnosis of left sided heart failure (HE). When obtaining the client’s health history, which information is most significant in determining a plan of care (POC)?

9 :
The nurse is caring for a client with chronic lymphocytic leukemia (CLL) who has developed autoimmune hemolytic anemia (AIHA). The client is receiving glucocorticoid therapy and reports increasing weakness and fatigue. Which laboratory value should the nurse review?