VATI Comprehensive Predictor REVIEW 2022 with complete solutions

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a nurse is caring for a client who is taking alprazolam. Which of the following prescriptions should the nurse clarify with the provider? - ANSWER ceftriaxone a nurse is assessing a client who is p... ostoperative following abdominal surgery. The client states "I feel like my incision ripped open" the nurse notes dehiscence of the incision. which of the following actions should the nurse take? - ANSWER place the client in a low-fowlers position a nurse is caring for a client who is receiving radiation therapy through a sealed implant. Which of the following actions should the nurse take? - ANSWER wear a lead apron when providing care for the client. a nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the following actions should the nurse take? - ANSWER apply the tourniquet 15 cm above the insertion site a nurse is administering medications to a client who has dysphagia and a new prescription for divalproex sodium extended release tablets. which of the following actions should the nurse take? - ANSWER administer the medication with applesauce a nurse is completing a dietary assessment for a client who is jewish and observes kosher dietary practices. which of the following behaviors would the nurse expect to fine? - ANSWER meat and dairy products are eaten separately a nurse is assessing a client who has minor injuries following a motor-vehicle crash and appears agitated and apprehensive. The nurse identifies that the client is in the arm stage of general adaptation syndrome and should expect which of the following findings. - ANSWER tachycardia a nurse is caring for a client who has a femur fracture and is on bedrest with bucks extension traction. which of the following actions should the nurse take? - ANSWER inspect the clients skin under the device every 8 hours a charge nurse is creating assignments for the next shift for several nurses and one of them is pregnant. which of the following clients should the charge nurse assign to a nurse who is not pregnant? - ANSWER 60 year old client who is recovering from shingles a nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? - ANSWER the client is lying in a supine position a nurse is teaching a client about smoking cessation. Which of the following client statements should the nurse identify as an understanding of the teaching? - ANSWER I will set a specific date to stop smoking a nurse has been caring for a female client who has bruises on her arms that are a result of physical abuse by her partner. The client states "I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave" Which of the following is an appropriate nursing intervention? - ANSWER help the client to recognize the signs of escalation of abusive behavior a client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune globulin. The client is gravid 2, para 2, and her blood type is AB negative. The newborn's blood type is B Positive. which of the following statements is appropriate? - ANSWER you should receive Rh immune globulin within 72 hours of delivery a client hospitalized 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. which of the following nursing actions is appropriate at this time? - ANSWER allow the sibling to visit after donning a sterile gown, mask, gloves, but prohibit physical contact a nurse is planning care for a client who takes haloperidol for the treatment of schizophrenia. which of the following should the nurse include in the plan of care? - ANSWER screen the client for tardive dyskinesia a nurse is performing a vision screening for a client. which of the following findings should the nurse identify as an indication that the client has cataracts? - ANSWER increased opacity of the lens of the eye a nurse is caring for a client who reports difficulty falling asleep at night. which of the following actions should the nurse take? - ANSWER schedule routine care tasks during the hours when the client is awake a nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. which of the following should the nurse recommend the client increases in their diet during lactation? - ANSWER calcium a nurse is providing nutritional counseling to the parents of a toddler. which of the following instructions should the nurse include in the teaching? - ANSWER offer snacks throughout the day a nurse is assessing a clients cardiovascular system. identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic valve. - ANSWER option A A nurse is planning to perform wound irrigation for a client who has an open secondary wound. when creating a sterile field. which of the following actions should the nurse take? - ANSWER place the lid of a bottle sterile solution with the sterile field a nurse is planning an education session for a client who has type 1 diabetes mellitus. which of the following should the nurse plan to include when teaching the client to monitor for hypoglycemia? - ANSWER diaphoresis a nurse is instructing a group of newly hired nurses about medication to promote fetal lung maturation. which of the following medications should the nurse include in the instructions? - ANSWER betamethasone a nurse is caring for a client who has atypical depression and is taking phenelzine. which of the following is appropriate for the nurses to offer as an evening snack? - ANSWER low fat yogurt a nurse is planning care for a newborn who is receiving phototherapy. which of the following actions should the nurse include the plan of care? - ANSWER assess the infants eyes for corneal irritation every 4 hrs a nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr and develops a hemolytic reaction. which of the following actions should the nurse perform? - ANSWER infuse 0.9% sodium chloride IV a nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. which of the following referrals should the nurse make? - ANSWER social worker a nurse from the state health department is instructing a group of nurses regarding infections. which of the following infections should the nurse report to the centers for disease control and prevention? - ANSWER Lyme disease a nurse is preparing to provide education about electroconvulsive for a client who has major depressive disorder. which of the following should the nurse include in the teaching? - ANSWER a general anesthetic is administered prior to ECT treatment a nurse is teaching a client and their family about home hospice care. which of the following information should the nurse include in the teaching? - ANSWER hospice care improves quality of life through palliative care a nurse is preparing to administer an enteral feeding via NG tube for a client the day after verifying placement of the tube using a chest x-ray. which of the following methods should the nurse use to confirm placement prior to initiating the feeding? - ANSWER test the pH level of the clients gastric aspirate a nurse is assessing a client who has non-hodgkins lymphoma. which of the following findings should indicate to the nurse that the clients might be experiencing syndrome of inappropriate antidiuretic hormone? - ANSWER diminished deep tendon reflexes a nurse received change of shift report on four clients. based on the shift report information. which of the following clients would the nurse plan to assess first? - ANSWER a client who had a hip arthroplasty reports pain and erythema in their calf a nurse is caring for a client who is postpartum and has a new prescription for methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. when reviewing the clients medical history, the nurse should recognize which of the following diagnosis as a contraindication to the administration of methylergonovine? - ANSWER hypertension a nurse is caring for a client who is undergoing peritoneal dialysis and notes that the dialysate outflow has become cloudy. which of the following complications of this procedure should the nurse suspect? - ANSWER peritonitis a home health nurse is teaching a guardian about administering tube feedings to their 3-month-old infant. which of the following information should the nurse include in the teaching? - ANSWER allow the infant to suck on the pacifier during feedings? a nurse in an inpatient psychiatric unit is setting short-term goals for an adolescent client who was admitted for treatment of anorexia nerves. which of the following is an appropriate short-term goal the nurse should set? - ANSWER the client will develop a personalized meal plan a nurse is preparing to witness a clients signature on an informed consent for a total knee arthroplasty. which of the following client statements indicates the nurse should contact the surgeon? - ANSWER "I am thankful there are no serious complications from this type of surgery" a nurse is caring for a client who reports chest pain. which of the following laboratory findings indicates myocardial damage? - ANSWER troponin 1.8ng/ml a nurse is caring for a school-age child who has a blood pressure of 88/50 mmhm and develops septic shock. which fo the following medications should the nurse expect the provider to prescribe? - ANSWER dopamine a nurse is caring for a client who is receiving a controlled epidural analgesia infusion. which of the following nursing actions is appropriate? - ANSWER covering the insertion site with a transparent dressing a nurse discovers that the wrong dosage was given to a client. when determining what action to take, the nurse should recognize that which of the following ethical principals should be applied? - ANSWER veracity a nurse notices smoke coming from a clients room and discovers a fire in the wastebasket. after moving the client to safety. which of the following is the priority action? - ANSWER notify the facility operator a home health nurse is teaching the parents of a school-age child who has legs-calve perches disease. which of the following information should the nurse include? - ANSWER your child should continue to attend school a nurse in the post anesthesia care unit is caring for four postoperative clients. the nurse realizes that coughing poses a risk to which of the following clients? - ANSWER a client who had a thyroidectomy a nurse in a mental health facility is interviewing a newly admitted client. which of the following actions should the nurse take when conducting the interview? - ANSWER insist the client use direct eye contact during the interview a nurse on a medical unit has just received change-of-shift report. which of the following clients should the nurse assess first? - ANSWER a 68-year old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10 a nurse is caring for a client who has just returned to the unit following a bronchoscopy. which of the following actions by the assistive personal requires the nurse to intervene? - ANSWER offer oral fluids to the client 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? - ANSWER "lets talk about what happened to you" a client at 38 weeks of gestations enters the emergency department. the nurse should recognize that which of the following indications that the client is in the latent phase of labor? - ANSWER the cervix is dilated 2cm a nurse is caring for a client who is 2hr postoperative following an ideal conduit procedures for bladder cancer. for which of the following findings should the nurse notify the provider? - ANSWER a dusky-colored stoma a nurse is teaching a client who has a low-literacy level about home management of diabetes mellitus. which of the following actions is appropriate? - ANSWER show the client an educational video a nurse is caring for a group of clients. the nurse should request a referral for a speech language pathologist for which of the following clients? - ANSWER a client who has difficulty swallowing a nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate by continuous IV infusion. which of the following client findings medication toxicity? - ANSWER urine output 20 ml/hr a nurse is assessing a client who has pneumonia. which of the following findings is priority for the nurse to report to the provider? - ANSWER a change in vocal tone after drinking liquids a nurse is providing teaching about preventing mastitis to a client who is postpartum and breastfeeding her newborn. which of the following instructions should the nurse include? - ANSWER try to have your baby empty your breasts with each feeding a nurse is caring for a client who will be receiving a transfusion of platelets. the nurse recognizes that the expected outcome of this treatment will be which of the following? - ANSWER decreases in bleeding from puncture sites a nurse is caring for a client who has just given birth to a stillborn newborn. which of the following is the priority task for the nurse to facilitate in the clients grief process? - ANSWER acknowledging the reality of the newborns death a nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. which of the following interventions should the nurse include? - ANSWER place the newborn 45cm (18in) from the light source a nurse is precasting a nursing student who brings the following client observations to the nurses attention. which of the following clients should the nurse assess first? - ANSWER a client who is coughing up pink tinged sputum following a bronchoscopy and lung biopsy 1 hr ago a nurse in a pediatric unit is caring for a group of clients. for which of the following disease should the nurse implement droplet precautions? - ANSWER pertussis a nurse is planning to delegate a client assignments to an assist personnel. which of the following tasks is appropriate for the nurses to delegate? - ANSWER collecting a urine specimen a nurse is caring for a toddler who has respiratory syncytial virus. which of the following actions should the nurse plan to take? - ANSWER use a designated stethoscope when Caring for the toddler a nurse is assessing a client who has 2, para 1. the client is at 41 weeks of gestations and is receiving oxytocin for the augmentation of labor. the nurse should decrease the infusion rate for which of the following findings? - ANSWER contractions occur every 90 seconds a nurse is caring for a client who has fractures ribs, has developed thrombophlebitis, and is being treated with a heparin drip. the client develops hematuria and has an activated partial thromboplastin time of 100 seconds. which of the following actions should the nurse take first? - ANSWER turn off the heparin drip a nurse is providing teaching to the parent of a 6-month old infant who is teething and having difficulty sleeping. which of the following instructions should the nurse include? - ANSWER "administer acetaminophen drops to your child before bedtime" a nurse is admitting a client who has antisocial personality disorder. which of the following clients behaviors should the nurse identify as consistent with this disorder? - ANSWER uses other for personal gain a nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of parents. which of the following information should be included? - ANSWER -newborn swallowing sounds are audible while breastfeeding -newborns stools are yellow and seedy after 7 days of breastfeeding -maternal breasts become soft following feedings a nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. which of the following is the highest priority for the client to report to the provider? - ANSWER fever a nurse is providing postoperative teaching to a client who has a newly-inserted pacemaker. which of the following statements by the client indicates that the teaching has been effective? - ANSWER "I will use my cell phone on the ear opposite of my pacemaker" The nurse is caring for a client who is receiving lactated ringers to treat fluid volume deficit. the nurse should identify that which of the following findings indicates a therapeutic response to the treatment? - ANSWER increased hemoglobin and hematocrit levels a nurse is caring for a client who is receiving systematic desensitization therapy to treat agoraphobia. which of the following client statements should indicate to the nurse that the treatment has been effective? - ANSWER "I was able to sit on a park bench for 30 minutes" a nurse is assessing a client who has pericarditis. which of the following findings is the priority? - ANSWER paradoxical pulse a nurse is caring for a preschool-age child who has a short-leg, plaster cast applied 1hr ago. which of the following is an appropriate intervention? - ANSWER support the affected leg on a pillow a nurse is caring for a client who is taking allopurinol. the nurse should monitor which of the following laboratory findings to determine the effectiveness of the medication? - ANSWER uric acid level a nurse is assessing a client prior to performing a blood draw. the nurse should identify that an allergy to which of the following foods can indicate that the client has an allergy to latex? - ANSWER avocados a nurse is delegating tasks to an assistive personnel. for which of the following clients should the nurse have the AP measure vital signs? - ANSWER a client who is requesting pain medication 2 days after surgery a nurse is caring for a client following an open colectomy. which of the following findings places the client at risk for delayed wound healing? - ANSWER hyperemesis a nurse is caring for a client who has cirrhosis of the liver. which of the following actions should the nurse take? - ANSWER monitor fort abdominal ascites a nurse is preparing to discharge a client who is to be transferred to a long-term care facility. the nurse should recognize that which of the following actions is a breach of client confidentiality? - ANSWER discussing the clients reaction to the transfer with another staff nurse a nurse is preparing to administer an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion. - ANSWER occlude the IV tubing above the injection port a nurse is caring for a client who has a new prescription for lithium carbonate. prior to administering the first dose, which of the following laboratory values should the nurse evaluate? - ANSWER thyroid hormones a nurse is caring for four clients. which of the following tasks can the nurse delegate to an assistive personnel? - ANSWER perform chest compressions during cardiac resuscitation a client asks the nurse if it is safe to take a glucosamine supplement. the nurse should assess for which of the following potential contraindications? - ANSWER shellfish allergy a nurse is caring for a client who has a chest tube and notes continuous bubbling in the water-seal chamber. which of the following actions should the nurse take? - ANSWER observe the system for an air leak a nurse is planning care for a newly admitted adolescent client who has bacterial meningitis. which of the following instructions is appropriate for the nurse to include in the plan of care? - ANSWER initiate droplet precautions for this client a nurse is caring for a client who has a new prescription for chlorpromazine by IM injection. which of the following is an appropriate nursing action? - ANSWER check ortho BP 1hr after administration a nurse is planning care for a child who is unresponsive and has increased intracranial pressure. which of the following actions should the nurse take? - ANSWER pad the side rails of the bed a nurse is providing dietary teaching to a client who has an increased cholesterol level. which of the following foods should the nurse recommend? - ANSWER egg whites a nurse is caring for a client who has meningitis. which of the following assessments should the nurse perform? - ANSWER brudzinzkis sign a nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. which of the following findings should the nurse report to the provider? - ANSWER magnesium 9 meq a nurse is teaching a client who has a new prescription for digoxin. which of the following statements should the nurse include in the teaching? - ANSWER "report a weight gain of one-half pound per day" an infection control nurse is reviewing the medical records of several clients. which of the following infections should the nurse report to the centers for disease control and prevention? - ANSWER syphillis a nurse is preparing to administer eye drops to a preschooler who has conjunctivitis. which of the following actions should the nurse take? - ANSWER apply pressure to the lacrimal punctual for 1 min following administration a nurse is caring for a client who has schizophrenia. the clients states "run cats soon the rain throwing procedure mechanical paper lake." the nurse should document that the client is demonstrating which of the following speech alterations? - ANSWER word salad a nurse is discussing a living will with a client. which of the following statements by the client indicates an understanding of this document? - ANSWER "it will communicate my wishes for end of life care" a nurse is planning care for a client who has anew diagnosis of dysphagia. which of the following foods should the nurse recommend? - ANSWER oatmeal a nurse is assessing a client who is 8 hr postoperative following a right modified radical mastectomy. which of the following should the nurse recognize as the priority finding? - ANSWER coughing frothy, pink secretions a nurse is caring for a client who has s diagnosis of antisocial personality disorder. the nurse should expect the client to demonstrate which of the following? - ANSWER poor impulse control a nurse is assessing a client who has delirium due to a febrile illness. which of the following findings should the nurse expect. - ANSWER hallucinations a nurse is providing care for a newly admitted client. which of the following interventions should the nurse plan to take? - ANSWER Intiate iv access for the client a home health nurse is admitting a client who has prescribed peritoneal dialysis. which fo the following actions should the nurse take first? - ANSWER clarify the clients actual and perceived health needs a nurse is assessing a client for pitting edema. when pressing into the dorsal side of the clients foot, the nurses fingers leaves a depression in the skin that is 8mm (0.3 in) deep. with which of the following clarifications should the nurse document this finding? - ANSWER 4+ edema a nurse is caring for a client following a possible exposure to anthrax. which of the following actions should the nurse take? - ANSWER begin prophylactic treatment with cirpofloxacin a nurse is creating a plan of care for a client who has anorexia n nervosa. which of the following interventions should the nurse include in the plan? - ANSWER monitor the client for 1 hour after meals a nurse is caring for a client who is receiving gentamicin. which of the following findings indicates the client is developing toxicity? - ANSWER tinnitus a nurse is preparing to discharge a newborn who has an atrial septal defect. the nurse should expect the provider to refer the client to which of the following Interprofessional team members? - ANSWER case manager a nurse is assessing an adolescent who has anorexia nervosa. which of the following findings should the nurse expect? - ANSWER hyokalemia a nurse is admitting a client to the medical surgical unit. which of the following actions should the nurse take first? - ANSWER observe the clients level of mobility a nurse is teaching a group of farmworkers who works with pesticides about minimizing exposure. which of the following information should the nurse include in the teaching? - ANSWER change clothes after working in the field a nurse is caring for a client who is manic. which of the following activities is appropriate for the nurse to suggest? - ANSWER taking a daily walk on the hospital grounds a nurse is performing triage following a natural disaster. which of the following clients should the nurse identify as the highest priority to receive care? - ANSWER a client who has a traumatic arm amputation a nurse in the clinic is providing information to a client who has mastitis of the left breast. the client asks the nurse, "does this mean that I must stop nursing my baby?" which of the following is an appropriate statement by the nurse? - ANSWER "no, you can continue to nurse from both your breasts" a community health nurse us caring for a client who requests a referral for family therapy. the nurse should initiate a referral to which of the following members of the interdisciplinary team? - ANSWER social worker A nurse on an orthopedic floor is completing the morning assessments on several clients. which of the following clients has the greatest risk for fat embolism syndrome (FES)? - ANSWER a 24-year old make who has a casted femur fracture a nurse is assessing a full-term newborn who is 24 hr old. which of the following findings should the nurse report to the provider? - ANSWER the newborn scleras have a yellowish tint a nurse on mental health unit receives report on four clients. which of the following clients should the nurse attend to first? - ANSWER a client who has begun to demonstrate catatonic behavior a nurse is setting up a sterile field for a dressing change on a postoperative client. which of the following actions should the nurse plan to take to maintain the sterile field? - ANSWER open the first flap of the sterile package away from the nurses body a nurse is teaching the parent of an infant about the manifestations of food allergies. the nurse identify which of the following findings as a common manifestations of a food allergy? - ANSWER vomitting a nurse is assessing a client who has systemic lupus erythematous (SLE). which of the following is an expected finding? - ANSWER dry raised facial rash a nurse is preparing to administer enoxaparin to a client. which of the following actions should the nurse plan to take? - ANSWER inject the medication in the lateral abdominal wall at the beginning of the day shift, a team leader delegates the following tasks to the assist personal (AP): bathe four clients, distribute fresh water, and obtain morning vital signs. at noon, the nurse asks the AP to transport one client to physical therapy. the AP reports too clients still need bed baths. which of the following is an appropriate strategy for the nurse to delegate more effectively in the future? - ANSWER set a clear time frame for the completion of each tasks a nurse manager at a public health clinic is concerned about the rising n umber of sexually transmitted infections in the community. the purpose of which of the following id to generate new ideas to address the public health concern? - ANSWER a brainstorming session with nurses a home health nurse is reviewing treatment goals with a client who has diabetes mellitus. the nurse should evaluate which of the following laboratory test to determine effective long-term management of blood glucose levels? - ANSWER HbA1c a nurse is teaching a client who is to start taking phenelzine for major depressive disorder. which of the following foods should the nurse teach the client to avoid consuming while taking this medication? - ANSWER cheddar cheese a nurse is about to administer an injection to a client when the client states, "I don't want that injection. the last time I got that I was sore for a week." the nurse goes ahead and administers the injection against the clients wishes. The nurse committed which of the following? - ANSWER battery a nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. which of the following findings should the nurse expect? - ANSWER hyperreflexia a community health nurse is performing a vision screening on a 4-month-old infant. when shining a light source into the infants visual field. which of the following is an expected finding? - ANSWER the infant closes their eyes a nurse is assessing a client who has pneumococcal pneumonia. which of the following findings should the nurse expect? - ANSWER tachypnea a nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. the Nurse should include which of the following as a potential adverse effect of the medication? - ANSWER burning aerobis culture from a client who has a draining pressure injury. identify the sequence of actions in order of performance. - ANSWER -assess the appearance of the wound -cleanse the wound with 0.9% sodium chloride irrigation -obtain the specimen from granulation tissue of the wound -place the swab in the culture tube -cover the wound with a sterile dressing a nurse is caring for a group of clients in an inpatient mental health facility. which of the following tasks should the nurse delegate to an assistive personnel? - ANSWER sit with the client who has anorexia nervosa during meals a nurse is assessing an infant who has water intoxication. which of the following findings should the nurse expect? - ANSWER generalized edema at the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. which of the following client reports should the nurse assess first? - ANSWER indigestion a nurse is caring for a group of clients. which of the following clients should the nurse identify as being at risk for metabolic alkalosis? - ANSWER a client who has kidney failure a nurse is assessing a client who has COPD and experienced recent weight loss. which of the following findings should the nurse report to the provider immediately? - ANSWER coughing and wheezing after eating A nurse is providing teaching about car seat safety to the parent of a term newborn. which of the following statements by the parent indicates an understanding of the teaching? - ANSWER "I should place a rolled blanket along each side of my babies head in the car seat" a nurse is caring for a postoperative client. which of the following interventions will reduce the risk of deep-vein thrombosis? - ANSWER apply venous plexus foot pumps a community health nurse is preparing to collect data to study the health of a local community. the nurse should plan to obtain information about which of the following factors during a windshield survey? - ANSWER the leading cause of death for the prior year a nurse is assessing the vitals of a newborn who was born 8hrs ago. which of the following findings requires interventions by the nurse? - ANSWER blood pressure 72/45 a nurse administers a does of metaclopramide to a client prior to a chemotherapy treatment. the client develops uncontrolled contractions of the head and neck muscles. which of the following medications should the nurse administer? - ANSWER diphenhydramine a nurse in the emergency department is caring for a client following a motor-vehicle crash. which of the following actions should the nurse take first? - ANSWER stabilize the cervical spine a nurse is admitting an unidentified female infant who was brought into the emergency department. based on the assessment findings, the nurse should estimate the infants age to be which of the following - ANSWER 3 month old a nurse in a clinic is teaching a client who is postmenopausal about estrogen therapy. which of the following information should the nurse include in the teaching? - ANSWER estrogen increases the risk for thrombus formation a nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood pressure. the nurse should identify that these findings are potential manifestations of which of the following? - ANSWER opioid intoxication a nurse is providing teaching to the guardian of a 5-month old infant about introducing new foods. which of the following instructions should the nurse include in the teaching? - ANSWER "introduce a new food every 5 to 7 days" a nurse is teaching a group of newly hired nurses about placenta previa. which of the following client findings should the nurse include? - ANSWER bright red vaginal bleeding four clients present to the emergency department. the nurse should plan to see which of the following clients first? - ANSWER a 50-year old client who has slurred speech, is disoriented and reports a headache a nurse is performing an admission assessment for a client who is to undergo a colonoscopy. the client informs the nurse that he took prescribed medications before coming to the clinic. which of the following medications is the priority to report to the provider? - ANSWER clopidogrel a charge nurse is evaluating the time management skills of a newly licensed nurse. which of the following actions should the charge n nurse identify as an effective time management skill? - ANSWER completes activities for one client before moving to the next client a nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. which of the following is an appropriate action for the nurse to take? - ANSWER IDK a nurse in a providers office is teaching to a client who is at 16 weeks of gestations and has a new prescription for ferrous sulfate. which of the following instructions should the nurse include? - ANSWER "take your iron medication with fluids other than coffee or tea" a nurse is caring for a client who has heart failure and has started taking loop diuretic. which of the following findings indicates the clients is experiencing an adverse effect of the medication? - ANSWER decreased reflexes a nurse is performing a skin assessment for a client who is on bedrest. which of the following actions should the nurse take to prevent a pressure injury? - ANSWER encourage client fluid intake of 2,500 mL daily a nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. which of the following statements indicates the newly licensed nurse understands the purpose of the teaching? - ANSWER "this technique decreases the risk of subcutaneous infiltration" a nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child who has cystic fibrosis. which of the following findings indicates the treatment has been effective? - ANSWER the child has increased sputum production a nurse is planning care for a client who is at 10 weeks of gestations and has a history of urinary tract infections (UTI's). which of the following information should the nurse plan to include in the teaching about UTI prevention? - ANSWER empty the bladder before and after intercourse a nurse is caring for a client who has a prescription for vancomycin 1 g IV every 12 hr. the client is scheduled to have the morning dose at 0700. the should schedule the trough level at which of the following times? - ANSWER 1800 a nurse is caring for a client who has breast cancer and has been receiving chemotherapy. which of the following laboratory values should the nurse report to the provider? - ANSWER WBC 3,000 [Show More]

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