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NURS NUR 6531WK 9 DISCUSSION
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NURS NUR 6531WK 9 DISCUSSION
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HESI EXIT COMPREHENSIVE REVIEW B QUESTIONS AND ANSWERSHESI EXIT COMPREHENSIVE REVIEW B QUESTIONS & ANSWERS
(Detail Solutions and Resource for the test)
1. Which information is most concerning to the nurse when caring for an older
client with bilateral cataracts?
A. States having difficulty with color perception
B. Presents with opacity of the lens upon assessment
C. Complains of seeing a cobweb-type structure in
the visual field
D. Reports the need to use a magnifying glass to see
small print
Rationale:
Visualization of a cobweb- or hairnet-type structure is a sign of a retinal
detachment, which constitutes a medical emergency. Clients with cataracts are
at increased risk for retinal detachment. Distorted color perception, opacity of
the lens, and gradual vision loss are expected signs and symptom of cataracts
but do not need immediate attention.
2. When caring for a client hospitalized with Guillain-Barré syndrome, which
information is most important for the nurse to report to the primary health care
provider?
A. Ascending numbness from the feet to the knees
B. Decrease in cognitive status of the client
C. Blurred vision and sensation changes
D. Persistent unilateral headache
Rationale:
A decline in cognitive status in a client is indicative of symptoms of hypoxia
and a possible need to assist the client with mechanical ventilation. A primary
health care provider will need to be contacted immediately. Options A, C, and
D are findings associated with Guillain-Barré syndrome that should also be
reported but are not as critical as the client's hypoxic status.
, HESI EXIT COMPREHENSIVE REVIEW B QUESTIONS AND ANSWERS
3. A client is admitted with a diagnosis of leukemia. This condition is
manifested by which of the following?
A. Fever, elevated white blood count,
elevated platelets
B. Fatigue, weight loss and anorexia, elevated red
blood cells
C. Hyperplasia of the gums, elevated white blood
count, weakness
D. Hypocellular bone marrow aspirate,
fever, decreased hemoglobin level
Rationale:
Hyperplastic gums, weakness, and elevated white blood count are classic signs
of leukemia. Options A, B, and D state incorrect information for symptoms of
leukemia.
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