Virtual ATI predictor;Comprehensive predictor test 100% correct answers, VATI Greenlight, VATI 2022

Virtual ATI predictor;Comprehensive predictor test 100% correct answers, VATI Greenlight, VATI 2022 A nurse is caring for a client who is receiving enteral nutrition. What lab level should be reported? {{Ans- Serum so ...

Virtual ATI predictor;Comprehensive predictor test 100% correct answers, VATI Greenlight, VATI 2022 A nurse is caring for a client who is receiving enteral nutrition. What lab level should be reported? {{Ans- Serum sodium of 128 A nurse is caring for a client who is receiving gentamicin. Which of the following findings indicates the client is developing toxicity? {{Ans- Tinnitus P-pee (furosemide) A-abx & aspirin C-cancer (tamoxifen) T-tinnitus A nurse is caring for a client who is receiving IV antibiotics and tests positive for C. diff - PRIORITY? {{Ans- Place client on contact precautions A nurse is caring for a client who will be receiving a transfusion of platelets - Effectiveness? {{Ans- Decrease in bleeding from puncture sites A nurse is caring for a client with fractured ribs, has developed thrombophlebitis, and is being treated with a heparin drip. The client develops hematuria and has an aPTT of 100 seconds - What nurse do next?? {{Ans- Turn off heparin drip A nurse is caring for a group of clients. Which of the following tasks is appropriate for the nurse to delegate to the AP? (SATA) {{Ans- -Transfer a client from bed to chair w/ mechanical lift -Provide postmortem care on a client who experienced cardiac arrest A nurse is caring for a mother who was prescribed methadone during pregnancy (MN p. 183): {{Ans- -Tachypnea -Irritability -Tremors or -Increased seizures, sleep pattern disturbance, higher birth wt A nurse is caring for an infant who is being treated for dehydration - indication for further education? {{Ans- -Flat anterior fontanel (Reason: Fontanels should be soft & flat; No tears = dehydration) A nurse is caring for a post-op client. Which of the following interventions will reduce the risk of DVT? {{Ans- Apply venous plexus foot pumps A nurse is caring for a preschool-age child who has a short-leg, plaster cast applied 1 hr ago. {{Ans- Support the affected leg on a pillow A nurse is discussing the z-track method to admin hydroxyzine hydrochloride w/ a newly licensed nurse - Understanding of teaching? {{Ans- This technique decreases the risk of subcutaneous infiltration A nurse is electronically documenting assessment findings for a client - How should document/assess pain? {{Ans- The client reports a pain level of 6 on a scale of 0-10 A nurse is giving change-of-shift report about a client who is 36-hr post-op to another nurse: {{Ans- Pain relieved by changing position A nurse is interviewing a client who presents with multiple injuries that are consistent with intimate partner abuse. After establishing trust and rapport, which of the following should the nurse say? {{Ans- "Let's talk about what happened to you" A nurse is planning care for a client who has a new diagnosis of HIV. {{Ans- I cant seem to gain any weight A nurse is planning care for a client who is comatose and has a stage II decubitus ulcer on the coccyx - What should nurse do? {{Ans- Provide the client with an alternating pressure mattress A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the following nursing actions should the nurse include in the plan of care? {{Ans- Remind the client to place the cane on the unaffected side. Rationale: Keep the cane on the stronger side of the body 1- Move cane forward 15cm 2- Then, move weaker cane forward 3- Advance stronger cane A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy: {{Ans- Place the newborn 45cm or 18 in from the light source A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections UTI: {{Ans- Empty bladder before & after sexy time A nurse is planning to change the dressings on a school-age child who has sustained multiple burns: {{Ans- Apply the dressings in a proximal to distal pattern A nurse is planning to provide community education about viral hepatitis - What info should include? {{Ans- Clients who have a hx of viral hepatitis are unable to donate blood A nurse is preparing the auscultate a client's apical pulse at the point of maximal impulse (PMI): {{Ans- 5th intercostal space at the left midclavicular line A nurse is preparing to administer potassium chloride intravenously to a client who has hypokalemia. The client is receiving a current infusion of 0.9% sodium chloride at 125ml/hr. Which of the following actions should the nurse plan to take? {{Ans- Dilute the solution prior to the infusion. Rationale: Dilute K+ and give no more than 40mEq/L of IV solution to prevent vein irritation A nurse is providing teaching for a client who has a new prescription for lithium carbonate - (Need for further education???) {{Ans- Take medication w/ milk. Rationale: Taking lithium with food would help with decreasing GI distress A nurse is providing teaching to the parent of a preschooler who was newly diagnosed with a latex allergy - What foods to avoid? {{Ans- Bananas A nurse is reviewing the employee health program for new employees. Which of the following diagnostic assessments should the nurse recommend for all the new employees to screen for the presence of tuberculosis? {{Ans- Mantoux test A nurse is reviewing medical records for four clients - Which of the following represents appropriate documentation? {{Ans- Carafate 1g PO 1hr AC