Exam (elaborations)
VATI Med-Surg Post-Assessment
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VATI Med-Surg Post-Assessment
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VATI MED-SURG POST-ASSESSMENTQUESTIONS AND ANSWERS GRADED
A+
jA nurse is caring for a client who has global aphasia following a cerebrovascular accident (CVA). Which
of the following actions should the nurse incorporate into the client's care?
A. Provide the client with two-step tasks
B. Request a consult with the speech-language pathologist.
C. Ask questions the client can answer with a simple "yes" or "no."
D. Use a raised voice when speaking to the client. - B. Request a consult with the speech-language
pathologist.
The speech-language pathologist can recommend specific communication strategies for a client who has
global aphasia. By identifying this need, the nurse is advocating for the client.
A client who is newly diagnosed with cancer has been prescribed oral chemotherapy. The client tells the
nurse, "I'm not sure if I want to take this medicine." Which of the following responses should the nurse
make?
A. "I think you should seriously consider the consequences of not going through with treatment."
B. "You do not have to take any medications that you don't want to."
C. "Tell me more about what is making you feel unsure about taking this medication."
D. "Are you nervous about the side effects of chemotherapy?" - C. "Tell me more about what is making
you feel unsure about taking this medication."
This is an open-ended statement that allows the client to express their concerns about the treatment
plan.
A nurse is caring for a client who has multiple sclerosis and is unable to maintain a grip on eating
utensils. Which of the following referrals should the nurse make?
A. Speech-language pathologist
, B. Physical therapist
C. Registered dietitian
D. Occupational therapist - D. Occupational therapist
Occupational therapists assist with developing a client's fine motor skills used for activities of daily living,
such as eating, grooming, and hygiene.
A nurse is reviewing the medical record of a client who has a prescription for liraglutide. Which of the
following findings should the nurse identify as a contraindication to this medication?
A. History of thyroid cancer
B. Concurrent use of metformin
C. Blood glucose 200 mg/dL
D. Albumin 3.8 g/dL - A. History of thyroid cancer
The nurse should identify a personal or family history of thyroid cancer as a contraindication to taking
liraglutide and notify the provider. Other contraindications to receiving this medication can include type
1 diabetes mellitus, diabetic ketoacidosis, and a history of suicidal thoughts or attempts.
A nurse is monitoring a client who has a prescription for ciprofloxacin 400 mg IV every 12 hr. Which of
the following manifestations should the nurse identify as an adverse effect of this medication?
A. Constipation
B. Anorexia
C. Fever
D. Myalgia - D. Myalgia
The nurse should identify that myalgia is an adverse effect of ciprofloxacin and can be an indication that
the client might be experiencing tendonitis, which could lead to tendon rupture. Other adverse effects
can include dizziness, agitation, and confusion.
A nurse is preparing to administer a unit of fresh frozen plasma (FFP) to a client. Which of the following
actions should the nurse plan to take prior to the transfusion?
A. Initiate an IV infusion of dextrose 5% in water.
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