Custom:PN
VATI
Medical
Surgical
Re-evaluation
Assessment
A
nurse
is
caring
for
a
client
who
just
had
an
endoscopic
procedure.
Which
of
the
following
is
the
monitoring
priority
for
this
client?
A)
Pain
B)
Nausea
C)
Gag
reflex
D)
Level
of
consciousness
-
ANS
C)
Gag
reflex
A
nurse
is
reinforcing
discharge
teaching
for
a
client
who
has
chronic
pancreatitis.
Which
of
the
following
statements
by
the
nurse
is
appropriate?
A)"You
should
decrease
your
caloric
intake
when
abdominal
pain
is
present."
B)
"You
should
increase
your
daily
protein
intake."
C)
"You
should
increase
fat
intake
when
experiencing
loose
stools."
D)
"You
should
limit
alcohol
intake
to
2-2
drinks
per
week."
-
ANS
B)
"You
should
increase
your
daily
protein
intake."
A
nurse
collects
data
on
a
client
who
returned
to
the
unit
four
hr
ago
following
a
partial
colectomy.
Which
of
the
following
conditions
should
the
nurse
attend
to
first?
A)
Change
the
moderately
saturated
dressing.
B)
Administer
analgesic
medication
for
incisional
pain.
C)
Catheterize
for
a
distended
bladder.
D)
Cough
and
deep
breathe
client.
-
ANS
B)
Administer
analgesic
medication
for
incisional
pain.
Rationale:
Administer
pain
medication
to
establish
comfort
and
then
attend
to
the
other
reported
condition.
A
nurse
is
reinforcing
discharge
teaching
on
actions
that
improve
gas
exchange
to
a
client
diagnosed
with
emphysema.
Which
of
the
following
instructions
should
be
included
in
the
teaching?
A)
Resting
in
a
supine
position
B)
Elevating
arms
while
performing
ADLs
C)
Breathing
in
through
the
nose
and
out
through
pursed
lips.
D)
Increasing
oxygen
delivery
to
5
L/min
during
times
of
distress.
-
ANS
C)
Breathing
in
through
the
nose
and
out
through
pursed
lips. A
nurse
is
assessing
a
client
who
is
African-American
and
who
is
jaundice.
Which
of
the
following
areas
are
the
most
reliable
for
the
nurse
to
inspect?
A)
Palms
of
hands
B)
Hard
palate
C)
Sclera
D)
Nail
beds
-
ANS
Hard
palate
A
nurse
is
reinforcing
teaching
with
a
client
who
has
ulcerative
colitis
and
requires
a
low
fiber
diet.
The
nurse
should
instruct
the
client
to
avoid
which
of
the
following
foods?
A)
Cooked
carrots
B)
Dried
apricots
C)
Ripe
bananas
D)
White
rice
-
ANS
B)
Dried
apricots
A
nurse
is
caring
for
a
client
who
has
a
large
wound
that
has
a
vacuum-assisted
closure
device
placed
over
it.
Which
of
the
following
findings
by
the
nurse
indicated
healing
of
the
wound.
A)
Granulation
tissue
on
the
surface
of
the
wound
B)
Musty
odor
from
the
foam
dressing
upon
removal
C)
Sanguineous
drainage
in
the
suction
device.
D)
Peeling
of
the
edges
of
the
transparent
dressing
-
ANS
A)
Granulation
tissue
on
the
surface
of
the
wound
A
nurse
is
caring
for
a
toddler
admitted
to
the
hospital
with
acute
gastroenteritis.
Which
of
the
following
findings
has
the
highest
priority?
A)
Weight
Loss
3%
of
total
body
weight.
B)
Blood
glucose
150
mg/dL
C)Potassium
2.5
mEq/L
D)
Urine
specific
gravity
1.035
-
ANS
C)Potassium
2.5
mEq/L
A
nurse
is
reinforcing
teaching
about
preventing
long-term
complications
of
retinopathy
and
neuropathy
with
an
older
adult
client
who
has
diabetes
mellitus.
Which
of
the
following
actions
is
the
most
important
for
the
nurse
to
include
in
the
teaching?
A)
"Plan
to
have
an
eye
examination
once
per
year."
B)
"Examine
your
feet
carefully
every
day".
C)
"Wear
closed
toed
shoes
daily."
D)
"Maintain
stable
blood
glucose
levels."
-
ANS
D)
"Maintain
stable
blood
glucose
levels." A
nurse
is
reinforcing
teaching
to
the
family
of
a
client
who
has
multiple
myeloma
and
is
admitted
to
the
unit
with
a
WBC
count
of
2,200/mm3.
Which
of
the
following
food
items
brought
by
the
family
should
the
nurse
prohibit
from
being
given
to
the
client?
A)
Fried
chicken
B)
Bagels
C)
A
factory-sealed
box
of
chocolates
D)
Fresh
fruit
basket
-
ANS
D)
Fresh
fruit
basket
A
nurse
is
reviewing
the
pre
admission
laboratory
test
results
of
a
client
who
is
scheduled
for
a
carotid
endarterectomy
in
3
days.
Which
of
the
following
results
should
the
nurse
report
to
the
provider?
A)
Sodium
151
mEq/L
B)
Chloride
105
mEq/L
C)
Potassium
3.8
mEq/L
D)
Calcium
9.6
mEq/L
-
ANS
A)
Sodium
151
mEq/L
A
nurse
is
caring
for
a
client
who
has
unilateral
leg
edema
with
associated
pain
and
a
low-grade
temperature.
Which
of
the
following
actions
should
the
nurse
take?
A)
Elevate
the
affected
leg
B)
Apply
cold
compresses
to
the
client's
leg
C)
Place
a
pillow
under
the
client's
knees.
D)
Massage
the
painful
area
of
the
leg.
-
ANS
A)
Elevate
the
affected
leg
A
nurse
is
reinforcing
teaching
with
a
class
about
preventing
deep-vein
thrombosis.
The
nurse
should
include
in
the
teaching
that
which
of
the
following
is
a
risk
factor
for
this
disorder?
Select
all
that
apply.
-
Dehydration
-
Oral
contraceptive
use
-
Hypertension
-
High
calcium
intake
-
Immobility
-
ANS
-Dehydration
-Oral
contraceptive
-
Immobility
A
nurse
is
caring
for
a
client
who
has
an
acute
exacerbation
of
ulcerative
colitis.
The
nurse
should
recognize
which
of
the
following
is
the
most
important
nursing
action
for
this
client?
A)
Preventing
skin
breakdown
B)
Maintain
fluid
and
electrolyte
balance
C)
Providing
emotional
support
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