VATI Comprehensive Predictor 160Q Grade A (correctly Answered)

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VATI Comprehensive Predictor 160Q Grade A (correctly Answered) -a nurse is caring for a client who is taking alprazolam. Which of the following prescriptions should the nurse clarify with the provide... r? {{ANS}}ceftriaxone -a nurse is assessing a client who is postoperative following abdominal surgery. The client states "I feel like my incision ripped open" the nurse notes dehiscence of the incision. which of the following actions should the nurse take? {{ANS}}place the client in a low-fowlers position -a nurse is caring for a client who is receiving radiation therapy through a sealed implant. Which of the following actions should the nurse take? {{ANS}}wear a lead apron when providing care for the client. -a nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the following actions should the nurse take? {{ANS}}apply the tourniquet 15 cm above the insertion site -a nurse is administering medications to a client who has dysphagia and a new prescription for divalproex sodium extended release tablets. which of the following actions should the nurse take? {{ANS}}administer the medication with applesauce -a nurse is completing a dietary assessment for a client who is jewish and observes kosher dietary practices. which of the following behaviors would the nurse expect to fine? {{ANS}}meat and dairy products are eaten separately -a nurse is assessing a client who has minor injuries following a motor-vehicle crash and appears agitated and apprehensive. The nurse identifies that the client is in the arm stage of general adaptation syndrome and should expect which of the following findings. {{ANS}}tachycardia -a nurse is caring for a client who has a femur fracture and is on bedrest with bucks extension traction. which of the following actions should the nurse take? {{ANS}}inspect the clients skin under the device every 8 hours -a charge nurse is creating assignments for the next shift for several nurses and one of them is pregnant. which of the following clients should the charge nurse assign to a nurse who is not pregnant? {{ANS}}60 year old client who is recovering from shingles -a nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? {{ANS}}the client is lying in a supine position -a nurse is teaching a client about smoking cessation. Which of the following client statements should the nurse identify as an understanding of the teaching? {{ANS}}I will set a specific date to stop smoking -a nurse has been caring for a female client who has bruises on her arms that are a result of physical abuse by her partner. The client states "I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave" Which of the following is an appropriate nursing intervention? {{ANS}}help the client to recognize the signs of escalation of abusive behavior -a client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune globulin. The client is gravid 2, para 2, and her blood type is AB negative. The newborn's blood type is B Positive. which of the following statements is appropriate? {{ANS}}you should receive Rh immune globulin within 72 hours of delivery -a client hospitalized for a bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemotherapy. the clients sibling comes to visit but has obvious manifestations of an upper respiratory infection. which of the following nursing actions is appropriate at this time? {{ANS}}allow the sibling to visit after donning a sterile gown, mask, gloves, but prohibit physical contact -a nurse is planning care for a client who takes haloperidol for the treatment of schizophrenia. which of the following should the nurse include in the plan of care? {{ANS}}screen the client for tardive dyskinesia -a nurse is performing a vision screening for a client. which of the following findings should the nurse identify as an indication that the client has cataracts? {{ANS}}increased opacity of the lens of the eye -a nurse is caring for a client who reports difficulty falling asleep at night. which of the following actions should the nurse take? {{ANS}}schedule routine care tasks during the hours when the client is awake -a nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. which of the following should the nurse recommend the client increases in their diet during lactation? {{ANS}}calcium -a nurse is providing nutritional counseling to the parents of a toddler. which of the following instructions should the nurse include in the teaching? {{ANS}}offer snacks throughout the day -a nurse is assessing a clients cardiovascular system. identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic valve. {{ANS}}option A -A nurse is planning to perform wound irrigation for a client who has an open secondary wound. when creating a sterile field. which of the following actions should the nurse take? {{ANS}}place the lid of a bottle sterile solution with the sterile field -a nurse is planning an education session for a client who has type 1 diabetes mellitus. which of the following should the nurse plan to include when teaching the client to monitor for hypoglycemia? {{ANS}}diaphoresis -a nurse is instructing a group of newly hired nurses about medication to promote fetal lung maturation. which of the following medications should the nurse include in the instructions? {{ANS}}betamethasone -a nurse is caring for a client who has atypical depression and is taking phenelzine. which of the following is appropriate for the nurses to offer as an evening snack? {{ANS}}low fat yogurt -a nurse is planning care for a newborn who is receiving phototherapy. which of the following actions should the nurse include the plan of care? {{ANS}}assess the infants eyes for corneal irritation every 4 hrs -a nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr and develops a hemolytic reaction. which of the following actions should the nurse perform? {{ANS}}infuse 0.9% sodium chloride IV [Show More]

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