NUR 449 VATI Fundamentals Assessment Remediation – Midland Technical College | NUR449 VATI Fundamentals Assessment Remediation

Document Content and Description Below

NUR 449 VATI Fundamentals Assessment Remediation – Midland Technical College 1. A client asks the nurse to explain the different types of advance directives. What information should be provided r... egarding living wills, durable power of attorney and DNR orders? 2. A nurse has delegated the following tasks to a new assistive personnel (AP) team member. Which of the following is priority for providing supervision? 3. A nurse is documenting on the electronic medical record (EMR). How should the nurse ensure client confidentiality during documentation? 4. Which of the four (4) clients should the nurse assess first? 5. Nurses face ethical dilemmas regularly in the health care setting. Provide two (2) examples of ethical dilemmas in nursing and what steps should the nurse take when solving these dilemmas? 6. Which ergonomic principles should the nurse implement when assisting a client from a bed to a stretcher to prevent patient injury? Select all that apply. 7. A nurse is providing care for a client with seizures. Identify three (3) seizure precautions the nurse should implement for this client. • Padded rails • Suction equipment at bedside • Bed low and rails up 8. Which action will the nurse perform when conducting a Rinne Test? 9. A nurse is preparing for a procedure with a client who has a latex allergy. What action should the nurse take regarding this allergy? What safety precautions should be implemented when a client reports an allergy to latex? 10. An important focus is client safety. Identify five (5) general measures the nurse can institute to prevent client falls? 11. A nurse is receiving an order to restrain a client with acute psychosis who is a danger to himself and others. What must the nurse ensure is included in the prescription for the physical restraints? o 12. Which action should the nurse include when planning client teaching? Select all that apply. • 13. A nurse is instructing a client with insomnia on ways to promote sleep. Which statement below indicates that the client understands the instructions? 14. A nurse is caring for a client with a new diagnosis of chronic obstructive pulmonary disease. What measures can the nurse take to ensure encouragement to the client in a stressful situation? 15. Which statement by the nurse promotes psychosocial care when caring for a dying client? 16. A nurse is caring for an apprehensive client with a new health concern. What health promotion strategies can the nurse encourage to help the client address the new stressors being faced? • The nurse will use therapeutic communication to help develop a trusting relationship with this client and provide positive reinforcement after patient education. 17. Which nursing action made by the nurse is correct when providing postmortem care? 18. How should the nurse position an unconscious client when providing oral care? 19. Dosage Calculation: Order: 3 mg 20. The physician orders Vancomycin 2 g in 250 mL 0.9% Normal Saline over 1 ½ hours. The selected tubing will deliver 60gtt/mL. Solve for drops per minute. Round to the nearest whole number. 21. A client has recently undergone a TURP for Benign Prostatic Hyperplasia. Which of the following manifestations needs to be reported to the provider? (Select all that apply) 22. A nurse is caring for an unresponsive client with a tracheostomy who is receiving mechanical ventilation. How often should oral care be provided to this client? 23. A nurse is caring for a client that exhibits signs and symptoms of aspiration during their enteral feeding. What is a priority intervention the nurse should carry out? 24. Explain the steps involved in providing an intermittent enteral feeding. 25. A nurse is caring for a client undergoing a bronchoscopy. What nursing actions should be taken postprocedure? o 26. A nurse is caring for a client scheduled to undergo a thoracentesis. Provide two (2) expected nursing considerations for preprocedure, 2 for intraprocedure, and 2 for post procedure. 27. A nurse is providing fall prevention education to the parents of an infant. What information should be included in this education? 28. A nurse is providing discharge information to a client prescribed home oxygen therapy via nasal cannula. Which of the following should the nurse include in this education? (Select all that apply.) 29. A nurse is providing education about cough etiquette to a client with an upper respiratory infection. What information should the nurse include? 30. Provide three (3) possible manifestations of hypokalemia. 31. A nurse is providing education on pursed lip breathing to a client with COPD. How should the nurse instruct the client to perform this breathing technique? • [Show More]

Last updated: 2 years ago

Preview 1 out of 12 pages