Virtual ATI predictor (Green Light) ( 11 Versions) (Question & Answers) | New 2020-2022)
2 hrs post-op following an ileal conduit procedure bladder cancer
{{ANS}}Dusky-colored stoma
Administering an INJ to a client
...
Virtual ATI predictor (Green Light) ( 11 Versions) (Question & Answers) | New 2020-2022)
2 hrs post-op following an ileal conduit procedure bladder cancer
{{ANS}}Dusky-colored stoma
Administering an INJ to a client even after the client states, "I don't want that injection. The last time I got that I was sore for a week."
{{ANS}}Battery
Admitting a client to the medical-surgical unit. Which of the following actions should the nurse first take?
{{ANS}}Observe the client's level of mobility
Adolescent client who has no previous history of a seizure disorder and is admitted after having a 3-min tonic-clonic seizure 2 wks after sustaining a mild concussion. EEG
{{ANS}}Explain that the client may not have coffee prior to the EEG
Adolescent who has cystic fibrosis and has a prescription for pancrelipase
{{ANS}}Take w/ meals
After evaluating the morning lab results on several clients, the provider writes prescriptions for 4 clients assigned to the nurses care?
{{ANS}}Infuse 10 meQ/l potassium chloride IV over 1 hr to a client who has potassium of 3.2
After making morning round, the charge nurse on a surgical unit delegates the follow tasks to the AP.
{{ANS}}Set up a room for an expected postoperative admission
AP reports to the nurse that another ap has spent the entire morning on the phone and has not completed the morning assignment
{{ANS}}Redirect the AP to discuss the issue with the other AP
Assessing client who systemic lupus erythematous SLE which of the following is an expected findings
{{ANS}}Dry, raised facial rash
At the start of an evening shift on a cardiac unit, a LPN brings the nurse a list of client reports
{{ANS}}Indigestion
Benefit from a three-way indwelling catheter
{{ANS}}Prone to development of blood clots un the urine
Caring for a client who has a new prescription for chlorpromazine by IM injection
{{ANS}}Check orthostatic BP 1 hr after admin
Caring for a client who was involved in a motor-vehicle crash. The client reports shortness of breath and chest pain and asks the nurse "Am I dying?"
{{ANS}}Admin pain meds
Charge nurse creating assignments for next shift for several nurses and one of the nurses is pregnant - which pt the nurse should NOT be assigned to?
{{ANS}}60 yr old who is recovering from shingles
Charge nurse on pediatric unit is making assignments for a float nurse from the medical unit. Pt to see first?
{{ANS}}10 yr old who has pneumonia & is receiving respiratory txs
Child who has pediculosis capitis
{{ANS}}store non-washable items in plastic bags for 14 days
Child who is unresponsive has ICP
{{ANS}}Pad the side of the bed
A client ask the nurse if it is safe for him to take glucosamine supplement?
{{ANS}}Shellfish allergy
Client following an open colectomy
{{ANS}}Uncontrolled pain
A client has just returned to the nursing unit following cardiac catheterization. In the immediate postoperative post procedure period which of the following is the priority nursing actions?
{{ANS}}Immobilizing the affect extremity
A client hopitialized 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.
{{ANS}}Allow the sibling to visit after donning a sterile gown, mask, gloves but prohibits physical contact
Client recovering from closed head injury assumes a decerbrate posture in response to stimuli
{{ANS}}D lying flat ?? (Extentend extremities) The client rigidly extends his arm
Client reports chest pain. Which of the following lab findings indicates myocardial damage
{{ANS}}Troponin 1.8
Client who has a left femur fracture and is skeletal traction. The clients reports pain due to muscle spasms in affected leg
{{ANS}}Realign the extremity in traction
Client who has given birth to a stillborn
{{ANS}}Acknowledging the reality of the newborn's death
Client who is 2 days postoperative following a lumbar laminectomy and is reporting nausea
{{ANS}}Admin an antiemetic (Aprepitant for nausea)
Client who is 8hr postoperative following a right-modified radical mastectomy - which findings to report to provider? (SATA)
{{ANS}}Coughing
Frothy,
pink secretions
Client who is receiving a controlled epidural analgesia infusion
{{ANS}}Covering the insertion site with a transparent dressing
Client who reports the use of chondroitin and glucosamine
{{ANS}}Improve joint functioning
Community health nurse is completing a newborn home visit and observes family members smoking cigarettes in the house
{{ANS}}Review the effects of secondhand smoke w/ family members
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