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RN VATI Adult Med Surg 2019 Questions and Answers

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Provide oral care evert 2 hrs. Assess the client daily for readiness for extubation A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse... identify as a manifestation of left-sided HF? - ANSWER Frothy sputum A nurse is assessing a client who is undergoing radiation therapy for breast cancer. Which of the following findings is an indication to the nurse that the client is experiencing an adverse effect of the therapy? - ANSWER Skin Changes A nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse plan to take? - ANSWER Place monitoring cords and tubes in a stockinette A nurse is teaching a client about self-management of their halo fixator device. Which of the following information should the nurse include in the teaching? - ANSWER Place a small pillow under the head while lying supine. A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and indwelling urinary catheter. The nurse should identify which of the following findings as an indication of a complication of the surgery? - ANSWER Clear drainage on the dressings. A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take? - ANSWER Report cloudy dialysate drainage to the provider. A nurse is caring for a client who had a surgical repair of an abdominal aortic aneurysm 3 days ago. The client's vital signs are: temp 38.3 degrees celcius, HR 80 bpm, RR 16 bpm, BP 128/76 mmHg. Which of the following actions is the nurse's priorirty? - ANSWER Assess the surgical incision for signs of infection. [Show More]

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