HESI MED-SURG ACTUAL EXAM WITH 310
QUESTIANS AND VERIFIED ANSWER| ALL
GRADE A!!!
,An ER nurse is completing an assessment on a patient that is
alert but struggles to answer questions. When she attempts to
talk, she slurs her speech and appears very frightened. What
, additional clinical manifestation does the nurse expect to find if
nacy's sysmptoms have been caused by a brain attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds - confirmed answer ---A) A carotid
bruit.
Rationale: the carotid artery (artery to the brain) is narrowed in
clients with a brain attack. A bruit is an abnormal sound heard
on auscultation resulting from interference with normal blood
flow. Usually the blood pressure is hypertensive. Initially flaccid
paralysis occurs, resulting in hyporefkexic deep tendon reflexes.
Bowel sounds are not indicative of a brain attack.
A client with a recent history of blood in his stools is scheduled
for a proctosigmoidoscopy. The nurse should implement which
protocols to prepare the client for this procedure? (Select all
that apply.)
A) Obtain consent for the procedure.
QUESTIANS AND VERIFIED ANSWER| ALL
GRADE A!!!
,An ER nurse is completing an assessment on a patient that is
alert but struggles to answer questions. When she attempts to
talk, she slurs her speech and appears very frightened. What
, additional clinical manifestation does the nurse expect to find if
nacy's sysmptoms have been caused by a brain attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds - confirmed answer ---A) A carotid
bruit.
Rationale: the carotid artery (artery to the brain) is narrowed in
clients with a brain attack. A bruit is an abnormal sound heard
on auscultation resulting from interference with normal blood
flow. Usually the blood pressure is hypertensive. Initially flaccid
paralysis occurs, resulting in hyporefkexic deep tendon reflexes.
Bowel sounds are not indicative of a brain attack.
A client with a recent history of blood in his stools is scheduled
for a proctosigmoidoscopy. The nurse should implement which
protocols to prepare the client for this procedure? (Select all
that apply.)
A) Obtain consent for the procedure.
