VATI Basic Care and Comfort quizzes and answers. Rationales provided. LATEST 2022

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A nurse is teaching parents how care for their newborn. Which of the following statements indicates a good understanding of how to use a bulb syringe to suction excess mucous from the infant's airway?... Select one: a. "The bulb syringe should reach to the back of my baby's throat." b. "I should compress the bulb syringe after I place it in my baby's mouth." c. "I should suction my baby's mouth before the nose." d. "The bulb syringe should be sterilized after each use." - Ans-c. "I should suction my baby's mouth before the nose." Rational: The mouth should always be suctioned before the nose to prevent aspiration during the gasp response that occurs when the nose is suctioned. The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to everything. The nurse should teach the parent that this behavior is a normal expression of the child's desire to accomplish which of the following? Select one: a. Gratify their oral fixation. b. Finish a project they set out to do. c. Develop their sense of trust. d. Increase their independence. - Ans-d. Increase their independence. Rational: The drive for independence is expressed by the toddler opposing the desires of those in authority (tantrums) and attempting to do everything for themselves. The Erickson developmental stage for this age is "Autonomy vs. Shame and Doubt." At a well-child visit, the parents report that their toddler occasionally touches and fondles her genital area. The parents ask the nurse if this behavior is something to be concerned about. Which of the following is a correct response? Select one: a. This is an early emergence of sexual expression that should be discouraged b. This is a possible infection or irritation in the genital area c. Your child is probably imitating behaviors that she has observed d. Awareness of body structures and sensations is normal and expected - Ans-d. Awareness of body structures and sensations is normal and expected Rational: Genital self-stimulation by the toddler is normal and expected. It is a new area to explore, similar to exploring the toes at an earlier age, but it has pleasurable sensations too! It should be ignored unless the behavior becomes pervasive, and then it should still be ignored and the child should be distracted to come and do some fun and exciting activity A nurse is completing a dietary evaluation for a client diagnosed with acute glomerulonephritis. Which of the following statements made by the client demonstrates understanding of necessary restrictions? Select one: a. "I should consume a diet low in carbohydrates." b. "I should increase my consumption of protein." c. "I should limit my sodium intake to 4 grams per day." d. "I should increase my fluid intake to 8-10 glasses of water a day." - Ans-c. "I should limit my sodium intake to 4 grams per day." Rational: Excessively high protein and sodium diets put clients at risk for glomerulonephritis. Clients with this condition should implement sodium and protein restriction. A nurse is assisting a client with bowel training. When should the nurse instruct the client to attempt defecation? Select one: a. Every hour while awake. b. Immediately before meals. c. When the client feels abdominal cramping. d. When the client has the urge to defecate. - Ans-d. When the client has the urge to defecate. CORRECT. Failure to heed the call to defecate may lead to overdistention of the rectum with hardening of the stool and subsequent constipation. Therefore, the best time to toilet a client to encourage bowel training is when the client has the urge to defecate. A nurse is calculating the client's intake and output. Based on the information below, which of the following values correctly represents the client's total output? Sipped 8 oz. clear broth. 100 mL ice chips. Voided 450 mL. IV push pain medication 50 mL. Drank 4 oz. juice and 6 oz. hot tea. Vomited 120 mL and voided 600 mL. Jackson Pratt drain emptied 40 mL. Select one: a. 1210 mL b. 1068 mL c. 590 mL d. 680 mL - Ans-a. 1210 mL Rational: 1210 mL output is the correct value. Input includes all liquids taken by mouth, including through nasogastric or jejunostomy feeding tubes, IV fluids, and blood or its components. Output includes urine, diarrhea, vomitus, and drainage from tubes such as through gastric suction and drainage from postsurgical wounds or other tubes. A nurse is providing dietary education for a client with cholecystitis. Which of the following food choices made by the client indicates a need for further teaching? Select one: a. Chicken breast b. Baked potato c. Broccoli with cheese sauce d. Wheat bread - Ans-c. Broccoli with cheese sauce CORRECT. Cholecystitis is characterized by inflammation of the gallbladder. The gallbladder stores and releases bile that aids in the digestion of fats. Fat intake should be limited to reduce stimulation of the gallbladder. Other foods that may be contraindicated include coffee, broccoli, cauliflower, Brussels sprouts, cabbage, onions, legumes, and highly seasoned foods. A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification? Select one: [Show More]

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