Comprehensive predictor test 85 correct answer, VATI Greenlight

Comprehensive predictor test 85 correct answer, VATI Greenlight A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks the nurse to enter data for her because the AP has forgotten h ...

Comprehensive predictor test 85 correct answer, VATI Greenlight A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks the nurse to enter data for her because the AP has forgotten her password and needs to leave. Which of the following actions should the nurse take? Correct Answer: Tell the AP to contact the IT department for charting assistance. A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse should instruct the parents to place the car seat in a.... Correct Answer: Rear-facing position in the back seat. A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety of a large sum of money in his wallet. Which of the following actions is appropriate for the nurse to take? Correct Answer: contact security personnel to place the money in the facility safe. A nurse is caring for a toddler who is admitted to the pediatric unit and is 2 hr postoperative following a tonsillectomy. Which of the following findings is a sign on hemorrhage? Correct Answer: Frequent Swallowing A nurse is reinforcing discharge teaching with an older adult client's family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include? Correct Answer: Instruct the client to bear down during rectal tube insertion. A nurse is caring for a client. Which of the following client statements should the nurse attend first? Correct Answer: "My heartburn pain is going into my jaw now" A nurse is caring for a client who is 3 days postoperative following abdominal surgery and has a Penrose drain. Which of the following actions should the nurse take? Correct Answer: Leave the drain insertion site open to air A nurse is reinforcing with a client who is about to undergo an upper gastrointestinal series with fluoroscopy. Which of the following information should the nurse provide? Correct Answer: "You will have to drink a contrast medium before the test." A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of burn. Which of the following findings should the nurse expect? Correct Answer: Hypernatremia A nurse is planing to administer an ophthalmic medication to a client. Which of the following actions would minimize systemic absorption of the medication? Correct Answer: Wait 5 mins after instillation before instilling the drops in the other eye A nurse is preparing morning medication for a client who has potassium level of 3.2 mEq/L. For which of the following medications should the nurse withhold administration and notify the provider? Correct Answer: Furosemide A nurse is collecting data from a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following findings should the nurse report to the provider? Correct Answer: Facial flushing A nurse in a provider'a office is collecting data from a client who was discharged from the hospital 7 days ago following treatment from deep-vein thrombosis. Which of the following findings is the nurse's priority? Correct Answer: The client takes ibuprofen to treat musculosketal pain. A nurse in an urgent care clinic is collecting data from a client who reports having diarrhea for the past 3 days. Which of the following findings indicates hypokalemia? Correct Answer: Muscle weakness A nurse is participating in a performance improvement process to decrease the rate of health care-associated infections within the facility. The nurse should recognize that which of the following is an appropriate performance improvement outcome indicator? Correct Answer: Client data indicates a decreased rate of infection A nurse is establishing a baseline postoperative assessment for a client who is recovering from a right femoropopliteal bypass graft. Which of the following findings in the assessment of the clients's right leg should be of the most concern to the nurse? Correct Answer: The client's foot feels cooler than the previous assessment A nurse is preparing a client regimen. Which of the following insulins can be mixed? Correct Answer: Aspart Regular Detemir Lispro Glargine cannot be mixed with any insulin A nurse is caring for a school-age child whose family adheres to a vegan diet in the home. The nurse should recognize the child is at risk for deficiency of which of the following? Correct Answer: Vitamin D A nurse is reinforcing teaching with a postpartum client. Which of the following should the nurse explain as the most important reason for staff to wear identification? Correct Answer: Reducing the risk of newborn abduction A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of a car seat. Which of the following statements by the parent indicates an understanding of the teaching? Correct Answer: I can place a rolled towel on each side of my newborn's head until he can hold his head up. A nurse on a mental health unit is discussing client rights with a group of coworkers. Which of the following statements should the nurse include? Correct Answer: A nurse must withdraw consent for treatment in writing if he is competent to do so. A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the following clients is an appropriate assignment for the nurse to accept? Correct Answer: A client who had a cesarean delivery 24hr ago A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff member. Which of the following actions should the nurse take? Correct Answer: Document in the client's medical record every 15 mins A nurse is reinforcing teaching with the family of a client who is receiving palliative care for terminal cancer. Which of the following guidelines should the nurse emphasize about appropriate pain control measures? Correct Answer: Administer schedule doses of medication from a patient-controlled analgesia (PCA) pump. A nurse is assisting with a group therapy session in which a client begins to monopolize the group's time. Which of the following interventions is appropriate? Correct Answer: schedule one-on-one discussion time with the client A nurse is preparing to administer required immunization to a toddler during a well-child visit. The parent ask the nurse how many baby aspirin he should administer if the toddler develops a fever. Which of the following responses should the nurse make? Correct Answer: "You should avoid administering aspirin to your child" A nurse is assisting with the admission of an older adult client who has impaired mobility and is at risk for falls. Which of the following actions should the nurse plan to perform first? Correct Answer: Document the client's risk in the medical record. A nurse is assisting with the admission of a client who has Hodgkin's disease and is receiving chemotherapy. Because a private room is not available, the nurse should recommend that the client share a room with a client who has which of the following diagnoses? Correct Answer: Sickle-cell anemia A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's siblings should the nurse expect? Correct Answer: The school-age sister views death as being a type of temporary sleep A nurse is reinforcing teaching with a client about the importance of a low-sodium diet. Which of the following foods should the nurse recommend as the best choice to include in a low-sodium diet? Correct Answer: medium baked potato A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following laboratory results indicates a possible complication of this therapy? Correct Answer: Serum calcium 12.5 mg/dL A nurse is caring for a client who is asking about the technique of effleurage and its use in labor and delivery. Which of the following responses should the nurse make regarding this technique? Correct Answer: "It is a light stroking of the skin during a uterine contraction." A nurse in a clinic is reinforcing teaching with a client who has a new prescription for a combination contraceptive transdermal patch. Which of the following should the nurse include in the teaching? Correct Answer: "Apply the patch to the lower abdomen."