VATI Greenlight (questions and answers) Graded A 2022

VATI Greenlight 2022 2 hrs post-op following an ileal conduit procedure bladder cancer Correct Answer: Dusky-colored stoma Administering an INJ to a client even after the client states, "I don't want that injectio ...

VATI Greenlight 2022 2 hrs post-op following an ileal conduit procedure bladder cancer Correct Answer: 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." Correct Answer: Battery Admitting a client to the medical-surgical unit. Which of the following actions should the nurse first take? Correct Answer: 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 Correct Answer: Explain that the client may not have coffee prior to the EEG Adolescent who has cystic fibrosis and has a prescription for pancrelipase Correct Answer: Take w/ meals After evaluating the morning lab results on several clients, the provider writes prescriptions for 4 clients assigned to the nurses care? Correct Answer: 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. Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: Indigestion Benefit from a three-way indwelling catheter Correct Answer: Prone to development of blood clots un the urine Caring for a client who has a new prescription for chlorpromazine by IM injection Correct Answer: 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?" Correct Answer: 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? Correct Answer: 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? Correct Answer: 10 yr old who has pneumonia & is receiving respiratory txs Child who has pediculosis capitis Correct Answer: store non-washable items in plastic bags for 14 days Child who is unresponsive has ICP Correct Answer: Pad the side of the bed A client ask the nurse if it is safe for him to take glucosamine supplement? Correct Answer: Shellfish allergy Client following an open colectomy Correct Answer: 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? Correct Answer: 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. Correct Answer: 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 Correct Answer: D lying flat ?? (Extentend extremities) The client rigidly extends his arm Client reports chest pain. Which of the following lab findings indicates myocardial damage Correct Answer: 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 Correct Answer: Realign the extremity in traction Client who has given birth to a stillborn Correct Answer: Acknowledging the reality of the newborn's death Client who is 2 days postoperative following a lumbar laminectomy and is reporting nausea Correct Answer: Admin an antiemetic (Aprepitant for nausea) Client who is 8hr postoperative following a right-modified radical mastectomy - which findings to report to provider? (SATA) Correct Answer: Coughing Frothy, pink secretions Client who is receiving a controlled epidural analgesia infusion Correct Answer: Covering the insertion site with a transparent dressing