Practice Question
While caring for a client with amyotrophic lateral sclerosis (ALS), the nurse performs a neurological assessment every four hours. Which assessment finding warrants immediate intervention by the nurse?
Answer Choices:
Correct Answer:
Weakened cough effort.
Rationale:
🔷 In amyotrophic lateral sclerosis (ALS), progressive muscle weakness can affect respiratory muscles, including those responsible for coughing.
🔷 A weakened cough effort indicates impaired ability to clear secretions, increasing the risk for aspiration and respiratory failure.
🔷 This finding demands immediate intervention as it may precede respiratory compromise.
🔷 Other signs like inappropriate laughter or asymmetrical weakness are concerning but less urgent.
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This question is from RN-Hesi Medical Surgical Exam which contains 46 questions.
More Questions from This Exam
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The client says that the pain feels like it is another attack of gout, which he has had on 2 other occasions in the last 4 months. The client tells the nurses that the pain started about 9 days ago in the evening and that it got very painful and swollen shortly thereafter. In the past, the gout attacks have resolved without treatment after about 5 days, but the client reports that his condition has not improved.
Answer Choices:
A. A. Obesity
B. Hypertension
C. Drinks beer nightly
D. Daily aspirin
E. Type 2 diabetes mellitus
F. Sleep apnea
G. Ibuprofen for pain
H. Nonsmoker
I. Osteoarthritis
A 59-year-old male client presents to the clinic, reporting pain in the right great toe. The client says that the pain feels like it is another attack of gout, which he has had on 2 other occasions in the last 4 months. The client tells the nurses that the pain started about 9 days ago in the evening and that it got very painful and swollen shortly thereafter. In the past, the gout attacks have resolved without treatment after about 5 days, but the client reports that his condition has not improved and that he is unable to walk or work
Answer Choices:
A. Garlic
B. Liver
C. Spinach
D. Oatmeal
E. Chicken
F. Shrimp
G. Lentil
H. Quinoa
I. Oranges
J. Sardines
The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?
Answer Choices:
A. Eating patterns of dietary intake
B. Activity level of bowel sounds.
C. Level and amount of physical activity.
D. Color and consistency of feces.
A client presents to the emergency department reporting chest pain that is radiating to the left arm, shortness of breath, and diaphoresis. Which medication should the nurse anticipate being prescribed by the healthcare provider
Answer Choices:
A. Fentanyl.
B. Hydromorphone.
C. Morphine.
D. Oxycodone
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi MedSurg
- Answer Choices: 4