Virtual ATI predictor (Green Light)/ COMPLETED VATI Greenlight STUDY SET 2022.

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VATI Greenlight STUDY TEST A nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65 mL/hr through a gastrostomy tube. Which of the following ... findings requires immediate intervention by the nurse? A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect? A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend? A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following actions should the nurse plan to take? A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the following findings requires intervention by the nurse? A nurse is reviewing the medical history of a client who is taking garlic supplement. The nurse should identify that which of the following findings is a contraindication for taking this supplement? A nurse is planning to provide community education about viral hepatitis. Which of the following should the nurse plan to include in the teaching? A nurse is reviewing the history and physical of a client who has right ventricular heart failure. Which of the following is an expected finding? A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The client has two school-age children and a limited support system. Which of the following is the priority nursing action? 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? A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication? A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions should the nurse take while caring for this client? A nurse manager is presenting information to the nursing staff regarding the appropriate use of client restraints. Which of the following should the nurse include? (Select all that apply.) A nurse is providing discharge teaching about disease prevention to a client who has active tuberculosis. Which of the following should the nurse include? A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take? A nurse is preparing a client for surgery and has just administered the preoperative injection. Which of the following actions should the nurse take? A nurse suspects another nurse is chemically impaired during their shift. Which of the following is an appropriate action for the nurse to take? A nurse in the recovery room is assessing a client who has a new chest tube. The nurse finds that the water seal is no longer tidaling. The nurse should identify the finding as resulting from which of the following? A nurse delegates tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). When admitting a client who is experiencing acute liver failure and who has ascites and an NG tube, which of the following tasks is most appropriate for the nurse to delegate to the LPN? A nurse is assessing an adult male client who has a BMI of 20. The nurse should identify that the client's BMI falls within which of the following categories? A nurse is assessing a client who has a long arm cast. For which of the following findings should the nurse monitor when assessing for acute compartment syndrome? A nurse is planning care for a newly admitted client. Which of the following interventions should the nurse plan to take first? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) A community health nurse is performing a vision screening on a 4-month-old infant. When shining a light source into the infant's visual field, which of the following is an expected finding? A nurse is planning discharge teaching for a client who is scheduled to receive intravenous infusions at home. Which of the following instructions should the nurse plan to include? 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 personnel requires the nurse to intervene? A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? A nurse is caring for a client who is in labor and receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which of the following should the nurse expect? nurse in a pediatric unit is caring for a group of clients. For which of the following diseases should the nurse implement droplet precautions? 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? A nurse at the family planning clinic triages several clients over the phone. Which of the following clients should the nurse instruct to come to the clinic? A nurse is caring for a client who has a hearing impairment. When speaking to the client, the nurse should incorporate which of the following communication methods? 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? A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an assistive personnel? A nurse manager at a public health clinic is concerned about the rising number of sexually transmitted infections in the community. The purpose of which of the following is to generate new ideas to address the public health concern? 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? A nurse is preparing to insert an indwelling urinary catheter for a female client. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) A nurse is providing teaching to a client who is at 8 weeks of gestation and experiencing episodes of nausea and vomiting. Which of the following instructions should the nurse include? A nurse is caring for a client who is nulliparous and in the first stage of labor. The last internal assessment revealed 100% cervical effacement with 5 cm of dilatation. At the end of the last contraction, the nurse observes a large gush of fluid coming out of the client's perineal area. Which of the following is a priority action by the nurse? A nurse is assessing a client who was brought to the emergency department by his adult child. The client has visible contusions on all four extremities. Which of the following actions should the nurse take? 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 client's medical history, the nurse should recognize which of the following diagnoses as a contraindication to the administration of methylergonovine? A nurse is giving discharge instructions to a client who has a new ileostomy. The nurse should recognize that the teaching has been effective when the client states, 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? 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? A nurse is reviewing the medical record of a client who has new prescription for gentamicin. The nurse should identify that concurrent use with which of the following current medications can increase the client's risk for ototoxicity? A nurse is caring for a client who is at high risk for developing diabetes insipidus (DI) following a severe head injury. Which assessment finding indicates to the nurse that the client is developing DI? A nurse is reviewing the employee health program for new employees. Which of the following diagnostic assessments should the nurse recommend for all new employees to screen for the presence of tuberculosis? 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? A nurse is assessing a client who is postoperative 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? A nurse is assessing a client's internal eye structures with an ophthalmoscope. Which of the following actions should the nurse take? 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 increase in their diet during lactation? A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections (UTIS). Which of the following information should the nurse plan to include in the teaching about UTI prevention? A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take? A nurse is providing teaching to an adolescent client who has cystic fibrosis and has a prescription for pancrelipase. Which of the following should the nurse include in the teaching? A nurse is caring for a client who is receiving continuous enteral feedings and reports diarrhea. Which of the following actions should the nurse take? A nurse is preparing to administer vancomycin to a client who has an infected wound. The nurse should plan to monitor for which of the following adverse reactions? A nurse is caring for a client who reports the use of chondroitin and glucosamine. The health benefit of this supplement combination is to do which of the following? 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? A client has just returned to the nursing unit following cardiac catheterization. In the immediate postprocedure period, which of the following is the priority nursing action? 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? A community health nurse is teaching a group of restaurant workers about hepatitis A. Which of the following statements should the nurse make? A nurse in a mental health clinic is observing clients the day room. The nurse sits down to talk with an adolescent client who was admitted with clinical depression. After a few minutes of conversation, the adolescent asks the nurse, "Why did you choose to talk to me out of this room full of kids?" Which of the following responses by the nurse is therapeutic? A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? the following assessment findings should indicate to the nurse that the NG tube might not be functioning properly? A nurse is caring for a client who is postoperative following a bowel surgery and has an NG tube connected to low intermittent suction. Which of 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? 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 technique? A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of following findings should the nurse expect? A nurse is giving change-of-shift report about a client who is 36-hr postoperative to another nurse. Which of the following should the nurse include? A nurse is caring for a client who has been taking propranolol. Which of the following findings indicates a need to withhold the medication? A nurse is reviewing the medical records of four clients. Which of the following prescriptions represents correct documentation? A nurse is evaluating the allergy profile of a client who has Graves' disease and is to undergo a thyroid scan. The nurse should identify which of the following allergies as a contraindication for the client to undergo a thyroid scan? A home health nurse is assessing a client who reports a headache and appears confused and drowsy. The client has a kerosene space heater in use. Which of the following actions should the nurse take first? A nurse is teaching a newly licensed nurse about informed consent. Which of the following statements should the nurse include in the teaching? (Select all that apply.) A nurse is providing teaching to the guardian of a school-age child who has a new prescription for ferrous sulfate capsules PO. Which of the following instructions should the nurse include in the teaching? A nurse is providing grief counseling for the parents of a school-age child whose sibling recently died. Which of the following statements should the nurse make? A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tube. The nurse should identify that which of the following findings Indicates fluid overload? A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate to the nurse that the medication is effective? 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? A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon? A nurse is caring for a 7-year-old child who has severe dehydration. Which of the following findings should the nurse expect? A charge nurse is creating assignments for the next shift for several nurses and one of the nurses is pregnant. Which of the following clients should the charge nurse assign to a nurse who is not pregnant? A nurse in a residential mental health facility is planning care for a new client who has obsessive compulsive disorder (OCD). Which of the following is appropriate for the nurse to include in the plan of care? A nurse is caring for client who has schizophrenia. Which of the following findings is the nurse's priority? A nurse is preparing to administer eye drops to a client. Which of the following nursing actions is appropriate? A nurse is caring for a client who has schizophrenia. The nurse should expect the client to exhibit which of the following manifestations? (Select all that apply.) A nurse is assessing a client who has a fentanyl patch in place for chronic pain. Which of the following findings should the nurse report to the provider? A charge nurse overhears two assistive personnel (AP) in the unit lobby discussing the HIV status of a client. Which of the following responses is the priority for the nurse to make? A nurse is performing a dressing change for a client who has a sacral wound using negative pressure wound therapy. Which of the following actions should the nurse take first? A nurse is providing dietary teaching for a client who has a history of nephrolithiasis. Which of the following is appropriate to include in the teaching? A nurse on a labor and delivery unit is assessing four newly admitted clients. Which of the following clients should the nurse see first? A nurse is planning care for a child who has increased intracranial pressure with a decrease in level of consciousness. Which of the following interventions should the nurse include in the plan of care? A nurse is caring for a client who reports chest pain. Which of the following laboratory findings indicates myocardial damage? 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 nurse should schedule the trough level to be drawn at which of the following times? A client who has a diagnosis of com acenta is admitted to the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the following actions should the nurse take? A nurse in a substance use unit spends an equal amount of time with each of his assigned clients, even though some of the clients have committed serious crimes. Which of the following ethical principles is the nurse demonstrating? 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? A nurse is caring for a client who is requesting treatment for a gambling disorder. Which of the following medications should the nurse expect the provider to prescribe? A nurse is performing change-of-shift assessments for four clients. Which of the following findings should the nurse report to the provider first? A nurse is planning care for a client who has a gambling disorder. Which of following instructions should the nurse provide to the client? A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the following is the priority action? 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? A nurse is planning the discharge of an infant who has tetralogy of Fallot. The nurse anticipates the need for which of the following equipment? 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? A nurse is monitoring a client during an IV urography procedure. Which of the following client reports is the priority finding? A nurse is teaching the guardian of an infant who has developmental dysplasia of the hip about a Pavlik harness. Which of the following instructions should the nurse include? A nurse in an inpatient mental health facility is caring for a client who has major depressive disorder and refuses to take her medication. Which of the following actions should the nurse take first? A nurse is performing an admission assessment for a client who is to undergo a colonoscopy. The client informs the nurse that he took his prescribed medications before coming to the clinic. Which of the following medications is the priority to report to the provider? 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? A nurse from the State Health Department is instructing a group of nurses regarding reportable infections. Which of the following infections should the nurse report to the Centers for Disease Control and Prevention? A nurse is caring for a client who has a prescription for atorvastatin. Which of the following client conditions is a contraindication this medication? A nurse is preparing to administer an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion. After confirming compatibility, which of the following actions should the nurse take? A nurse is planning care for a client who is postoperative following creation of an arteriovenous fistula in the left arm. Which of the following actions should the nurse include in the plan? A nurse enters a client's room and finds the client lying on the floor in a puddle of water. Which of the following statements should the nurse document in an incident report? A client who is having suicidal thoughts tells the nurse, "It just does not seem worth it anymore. Why not end my misery?" Which of the following responses by the nurse is appropriate? A charge nurse is teaching a group of unit nurses about the policy for clients who have a history of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following information should the nurse include? A nurse is caring for an adolescent who is receiving treatment for heart failure. Based on the client's chart findings, which of the following actions should the nurse plan to take? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) A nurse is performing a skin assessment on a client who has risk factors for development of skin cancer. The nurse should understand that a suspicious lesion is A nurse is assessing a client who is gravida 2, para 1. The client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor. The nurse should decrease the infusion rate for which of the following findings? A nurse is assessing a client who has a complete heart block and is receiving transcutaneous pacing. Which of the following findings indicates to the nurse that the treatment is effective? A nurse is caring for a client who experienced a stroke and has dysphagia. Which of the following findings should indicate to the nurse the client is at risk for aspiration? 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? A nurse is creating a plan care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? 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? A nurse performing a skin assessment for a client who is on bedrest. Which of the following actions should the nurse take prevent a pressure injury? A nurse is teaching a group of farmworkers who work with pesticide about minimizing exposure. Which of the following information should the nurse include in the teaching? A nurse is observing bonding between a client and her newborn. Which of the following actions by the client requires the nurse to intervene? A nurse is caring for a client following insertion of a subclavian prescription to initiate an IV infusion of Ringer's lactate at 150 ml per hr. Prior to starting the infusion, which of the following actions should the nontunneled percutaneous central venous catheter (CVC). The provider writes a nurse take? A nurse is admitting a client who has antisocial personality disorder. Which of the following client behaviors should the nurse identify as consistent with this disorder? 2 hrs post-op following an ileal conduit procedure bladder cancer 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." Admitting a client to the medical-surgical unit. Which of the following actions should the nurse first take? 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 Adolescent who has cystic fibrosis and has a prescription for pancrelipase After evaluating the morning lab results on several clients, the provider writes prescriptions for 4 clients assigned to the nurses care? After making morning round, the charge nurse on a surgical unit delegates the follow tasks to the AP. AP reports to the nurse that another ap has spent the entire morning on the phone and has not completed the morning assignment Assessing client who systemic lupus erythematous SLE which of the following is an expected findings At the start of an evening shift on a cardiac unit, a LPN brings the nurse a list of client reports Benefit from a three-way indwelling catheter Caring for a client who has a new prescription for chlorpromazine by IM injection 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?" 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? Charge nurse on pediatric unit is making assignments for a float nurse from the medical unit. Pt to see first? Child who has pediculosis capitis Child who is unresponsive has ICP A client ask the nurse if it is safe for him to take glucosamine supplement? Client following an open colectomy 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? 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. Client recovering from closed head injury assumes a decerbrate posture in response to stimuli Client reports chest pain. Which of the following lab findings indicates myocardial damage Client who has a left femur fracture and is skeletal traction. The clients reports pain due to muscle spasms in affected leg Client who has given birth to a stillborn Client who is 2 days postoperative following a lumbar laminectomy and is reporting nausea Client who is 8hr postoperative following a right-modified radical mastectomy - which findings to report to provider? (SATA) Client who is receiving a controlled epidural analgesia infusion Client who reports the use of chondroitin and glucosamine Community health nurse is completing a newborn home visit and observes family members smoking cigarettes in the house A community health nurse is evaluating eligibility for home assistance for a client who is quadriplegic A community health nurse is planning to make home visits to several clients who all live within a few miles radius of the office - Who to see first? Creating and activity plan for a home bound older adult client. In the planning, the nurse considers the physiologic changes that may affect pulmonary function r/t the normal aging process Delegates the following tasks to the AP bathe four clients, distribute fresh water, obtain morning vital signs DI w/ severe head injury Diagnosis of antisocial personality disorder Diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36wks gestation w/ contractions 5 min in frequency and 1 min in duration Dietary intervention for a client who is immobile due to pelvic and femur fractures Difficulty falling asleep at night Disaster triage following a natural disaster Discharge teaching about disease prevention to a client who has active Tb Discussing a living will with a client Discussing care w/ newly licensed nurse for a client who practices orthodox Judaism - which food not given? Education about ECT major depressive disorder Education to the mother of a toddler who has pertussis An emergency department nurse triages a group of school children injured in a school bus crash Experiencing acute mania ... Gravida 2, para 1. The client is at 41 wks gestation and is receiving oxytocin for the augmentation of labor Haloperidol for the tx of schizophrenia health nurse is performing a vision screening on a 4-month-old infant. When shining a light source into the infant's visual field - rx? Hearing impairment - incorporate which communication methods? Home health nurse is admitting a client who is prescribed peritoneal dialysis A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The client who has 2 minor children and a limited support system A home-health nurse is providing teaching about self-administration of insulin to client who is newly diagnosed w/ diabetes mellitus Home health nurse is reviewing treatment goals w/ a client who has diabetes mellitus evaluate lab tests to determine effective long-term management of blood glucose levels Hyperthyroidism - which of the following rooms is appropriate for the nurse to assign this client? If something happens to me from which I cannot recover, I don't want to go on a ventilator: Ileal conduit due to treatment for bladder cancer Immediate postoperative period following thorac surgery, a nurse medicates a client for pain on a schedule Infection control nurse is reviewing care procedures for four clients In-home assessment for an older adult client who is at risk for falls. Which of the following assessment findings should the nurse identify as a potential hazard? In patient psychiatric unit is setting short-term goals for an adolescent who was admitted for tx of anorexia nervosa Involuntarily admitted to psychiatric unit following a failed suicide attempt - experimental tx Lab data on client who has dehydration Lab values on a client who has taken an overdose of acetaminophen - organ damage Mastitis of left breast - does this mean that i must stop nursing my baby? Morning lab values to several clients ... Pt w/ Neutropenia (MS pg. 543) Newborn nursery is performing assessments on four neonates that are all less than 24 hr old - which pt is priority? Pt is Nulliparous and in the first stage of labor. The last internal assessment revealed 100% cervical effacement w/ 5cm of dilation. At the end of last contraction, the nurse observes a large gush of fluid coming out of clients perineal area. What should nurse do first? A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable dx to the CDC? A nurse at the family planning clinic triages several clients over the phone - (PRIORITY)? A nurse delegates tasks to a LPN and an AP. When admitting a client who is experiencing acute liver failure and who has ascites and an NG tube - which of the following tasks is most appropriate to delegate to the LPN? A nurse educator is discussing modes of transmission w/ nursing students. Which of the following should the nurse educator include as an example of vector-borne transmission? A nurse in a mental health clinic is observing clients in the day room. The nurse sits down to talk w/ an adolescent client who was admitted w/ clinical depression. After a few minutes of convo, the adolescent ask the nurse "why did you choose to talk to me out of this room full of kids?" A nurse in a mental health clinic is reviewing the hx and physical for a 17-yr old client who has a new dx of social phobia: Nurse in an emergency department is assessing a client who has a nasal fracture. A nurse in a pedi unit is caring for a group of clients. Which of the following diseases should the nurse implement droplet precautions? A nurse in a provider's office is caring for a client who has Parkinson's Disease and has been taking levodopa for the past 5 wks. The client reports a new onset of muscle twitching - best response? A nurse in the emergency department is caring for a client following a motor vehicle crash - PRIORITY? A nurse in the emergency department is caring for a client who has abdominal pain. Which of the following actions by the nurse demonstrates VERACITY? A nurse in the emergency department is providing discharge teaching to a client who has a sprained ankle. For the first 24hr following sx, the nurse should instruct the client to do which of the following? A nurse in the PACU is caring for four post-op clients. The nurse realizes that coughing poses a risk to which of the following clients? A nurse is admitting a client who has chronic gout - What med should the nurse admin? A nurse is admitting an infant who has bacterial meningitis. Nursing intervention? A nurse is admitting an unidentified female who was brought to the emergency department A nurse is analyzing cardiac rhythms of four telemetry clients in the coronary care unit: A nurse is assessing a client 1 wk after a successful bone marrow transplant. The client reports peeling of skin on her hands and feet. The nurse should recognize this desquamation as an indication of which of the following complications? A nurse is assessing a client who has an IV infusing per gravity at 125ml/hr A nurse is assessing a client who is 2 hrs post-op following insertion of a chest tube connected to chest drainage system as depicted in the diagram above: A nurse is assessing a client who is post-op following abdominal sx. States "I feel like my incision ripped open." A nurse is assessing a client w/ schizophrenia - what is a manifestation? A nurse is caring for a client following insertion of a subclavian non-tunneled percutaneous central venous catheter - What should nurse do? A nurse is caring for a client who has a partial laryngectomy and is receiving continuous enteral feedings at 65ml.hr through a gastrostomy tube (intervene??) A nurse is caring for a client who has newly implanted sealed internal radiation device to treat cervical cancer. 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 lab values should the nurse evaluate? A nurse is caring for a client who has a typical depression and is taking phenelzine - What can you eat? A nurse is caring for a client who has cirrhosis of the liver: Nurse is caring for a client who has end stage liver disease. The daughter of the clients ask about her father's DNR request. A nurse is caring for a client who has heart failure and has started taking a loop diuretic: A nurse is caring for a client who has just returned to the unit following a bronchoscopy: A nurse is caring for a client who is manic. Which of the following activities is appropriate for the nurse to suggest? A nurse is caring for a client who is postoperative and at risk for development of DVT - Risk factor? A nurse is caring for a client who is receiving enteral nutrition. What lab level should be reported? A nurse is caring for a client who is receiving gentamicin. Which of the following findings indicates the client is developing toxicity? A nurse is caring for a client who is receiving IV antibiotics and tests positive for C. diff - PRIORITY? A nurse is caring for a client who will be receiving a transfusion of platelets - Effectiveness? 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?? 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) A nurse is caring for a mother who was prescribed methadone during pregnancy (MN p. 183): A nurse is caring for an infant who is being treated for dehydration - indication for further education? A nurse is caring for a post-op client. Which of the following interventions will reduce the risk of DVT? A nurse is caring for a preschool-age child who has a short-leg, plaster cast applied 1 hr ago. A nurse is discussing the z-track method to admin hydroxyzine hydrochloride w/ a newly licensed nurse - Understanding of teaching? A nurse is electronically documenting assessment findings for a client - How should document/assess pain? A nurse is giving change-of-shift report about a client who is 36-hr post-op to another nurse: 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? A nurse is planning care for a client who has a new diagnosis of HIV. 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? 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? A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy: A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections A nurse is planning to change the dressings on a school-age child who has sustained multiple burns: A nurse is planning to provide community education about viral hepatitis - What info should include? A nurse is preparing the auscultate a client's apical pulse at the point of maximal impulse (PMI): 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? A nurse is providing teaching for a client who has a new prescription for lithium carbonate - (Need for further education???) A nurse is providing teaching to the parent of a preschooler who was newly diagnosed with a latex allergy - What foods to avoid? 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? A nurse is reviewing medical records for four clients - Which of the following represents appropriate documentation? A nurse is reviewing the hx and physical of a client who has right ventricular heart failure: A nurse is teaching a client who has a new dx of GERD - Include in teaching? A nurse is teaching a client who has a new prescription for digoxin. Which of the following should the nurse include in the teaching? A nurse is teaching a client who has left-leg weakness how to use a standard walker (further education?) A nurse is teaching a client who has a low literacy level about home management of diabetes mellitus: A nurse is teaching a family about home hospice care: A nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of parents - What include in teaching? (SATA) A nurse is writing a plan of care for a client who is home bound and has stage 2 Alzheimer's Disease. Which of the following should the nurse include in the plan of care? A nurse manager is making staffing assignments for the med surg unit. Which of the following clients is appropriate to assign to a float nurse from the postpartum unit? A nurse manager is presenting an in-service for newly licensed nurses about advance directives: A nurse manager is presenting info to the nursing staff regarding the appropriate use of client restraints - What should be included? (SATA) A nurse notices smoke coming from aclients room and discovers a fire in the wastebasket. After moving the client to safety what nurse do next? A nurse plans to ambulate a client on the third day after cardiac sx. A nurse supervisor receives notification of a disaster in the community and the possibility for multiple admissions to the facility - Which ppl can be discharged? (SATA) A client who has an abdominal wound and is receiving negative pressure wound therapy A nurse volunteers to assist after witnessing a mass casualty incident involving a train derailment. Which of the following clients should the nurse immediately and completely immobilize? A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn unit. The nurse is very anxious about floating and uncomfortable with the assignment the charge nurse has selected - What should nurse do? A nurse working in an inpatient mental health facility observes a client who is agitated and threatening staff members in the day room - What should do? Nutritional assessment on a client who has a calcium deficiency OCD - Further education?? An older adult client tells the nurse, "I thought immunizations were for kids." The nurse informs the client that older adults should receive which of the following immunizations? Orthopedic floor is completing the morning assessments on several clients - PRIORITY client? Performing postmorten care on an older adult client Perform wound irrigation for a client who has an open secondary wound when creating a sterile field Postpartum unit is caring for several clients (which pt do you see first?) Preparing a client for sx and nursejust administered the preoperative injection (what is the next step or first step?) *safety question Preparing to administer eye drops to a client: Preparing to obtain informed consent for a colonoscopy from a client who does not speak english: Prescribed furosemide - indication of fluid overload??? Primagravida client in the emergency department at 12 weeks of gestation hyperemesis gravidarum: Providing dietary teaching for a client who has a hx of nephrolithiasis - Which of the following is appropriate to include in the teaching? Providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in her diet during lactation? Providing postoperative teaching to a client who has a newly inserted pacemaker (if for further education this maybe the answer because this is not in the education) Recognizes that the teen pregnancy rate in the community has increased: Recovering from an acute myocardial infarction - left sided heart failure: Recovery room is assessing a client who has a new chest tube. The nurse finds that the water seal is no longer tidaling - What could be problem? Referral for a speech language pathologist: Reviewing data of four young children who are receiving treatment. Which of the following should alert the charge nurse to the possibility of child abuse? "Reviewing" medications for a group of clients labor and delivery (which would you NOT give?) Rising number of sexually transmitted infections in the community???? School nurse scabies Several client measurements were obtained with morning vital signs - pt priority*?? Tetralogy of Fallot: Urinalysis done for a preschool age child: PRIORITY action for post-op ileus? Idenfy risks for fat embolism syndrome (FES): (turn upside down)? Disorder of eye post-op risk? [Show More]

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