Hesi Rationales Study

A mother had a boy who was recently diagnosed with hemophilia. She found out that she was pregnant and asks what the percentage is the this next baby could have hemophilia.

25% chance this baby will also be affected

Which cranial nerve is affected by the first-line antitubercular medications, streptomycin?

Streptomycin is ototoxic and affects the eights cranial nerves, causing deafness.

Severe preeclampsia

Arteriolar spasms cause hypertension and decreased arterial perfusion of they kidneys, which in turn cause an alteration in the glomeruli, resulting in oliguria and proteinuria, as well as retention of sodium and water, resulting in edema.

When is optimal time for chorionic villi sampling (CVS) while pregnant?

At 10 weeks but no later than 12 weeks.

What should the nurse assess to determine whether a 75-year-old individual is meeting the developmental task associated with aging?

Attainment of a sense of worth as a person; self worth

A client's chest tube has accidentally dislodged. What is the high nursing priority?

apply a pretroleum gauze dressing over the site to prevent air from being sucked into the pleural space

What is a possible effect of long-term use of glucocorticoids?

behavioral changes because of fluid and electrolyte alterations

Ileal conduit should be emptied frequently because, full of urine, the collection bag may:

cause the device to pull away from the skin

What condition causes failure to thrive in infants due to increased metabolism

congenital heart disease

What is the preferred method of contraceptive for a patient with diabetes?

diaphragm

What expected sensory losses are diminished in older adults?

diminished sensation of pain, impaired hearing of high-frequency sounds

What is a common side effect of receiving epidural anesthesia?

hypotensive episodes; this type of anesthesia creates a sympathetic block that causes a loss of peripheral vascular resistance and a decrease in venous return; this leads to a reduced cardiac output, which can precipitates hypotensive episodes.

Chadwick's sign is caused by

increased blood flow to the uterus during pregnancy

After a recent surgical repair of a cleft lip in an infant, what is the most important action for the nurse

keeping crying to a minimum

After a mother gave birth, she asks what to expect regarding breastfeeding?

lochial flow will be increased because breastfeeding stimulates oxytocin release and uterine contractions, resulting in increased lochial flow.

What does an increased alpha-fetoprotein (AFP) level indicated in a pregnant mother?

neural tube defect

NSAIDs are expected to have the desired outcomes of:

pain relief, antipyresis, and reduced inflammation

What factor has the greatest influence on diastolic blood pressure?

peripheral vascular resistance is the impedance of blood flow, or back pressure, by the arterioles, which is the most influential component of diastolic blood pressure.

What will be the lochia color after four days?

pinkish brown; lochia serosa

A child comes to the emergency room with symptoms of Reye's syndrome. What information in the child's history is most important for the nurse to obtain in light of the tentative diagnosis?

recent viral infection; there is a strong relationship between the two, especially a viral infection that was treated with aspirin

A pregnant mother is to be induced, what is the nurse's responsibility when a client's labor is being stimulated with oxytocin?

stopping the infusion if contractions become hypertonic

What color should amniotic fluid be?

straw-colored, clear, and containing little white specks