Practice Question
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?
Answer Choices:
Correct Answer:
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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This question is from Hesi RN Adult Health I WGU~D444 Exam I which contains 59 questions.
More Questions from This Exam
Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?
Answer Choices:
A. Use salt tablets after strenuous exercise.
B. Drink plenty of water whenever thirsty.
C. Monitor daily urine output volume.
D. Review food labels for sodium content.
A client who is experiencing respiratory distress is admitted with respiratory acidosis. Which pathophysiological process supports the client's respiratory acidosis?
Answer Choices:
A. Hyperventilation is eliminating carbon dioxide rapidly.
B. High levels of carbon dioxide have accumulated in the blood.
C. Carbon dioxide is converted in the kidneys for elimination.
D. Blood oxygen levels are stimulating the respiratory rate.
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?
Answer Choices:
A. Determine the client's last dose of corticosteroids.
B. Determine neurological baseline prior to the fall.
C. Administer a PRN IV antiemetic as prescribed.
D. Complete head-to-toe neurological assessment.
A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?
Answer Choices:
A. Reduction in number of liquid stools.
B. Improved mental status.
C. Increase in urine output.
D. Ability to ambulate independently.
Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?
Answer Choices:
A. Provide step-by-step verbal directions.
B. Escort the client to the cafeteria.
C. Use the hospital map to show the client where the cafeteria is located.
D. Orient the client to the color-coding system used for locating hospital services.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Adult Health
- Answer Choices: 4