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MEDSURG VATI ASSESSMENT 90 Q'S and answers correct and verified 100%
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MEDSURG VATI ASSESSMENT 90 Q'S and answers correct and verified 100%MEDSURG VATI ASSESSMENT 90 Q'S and answers correct and verified 100% A nurse is assisting with the care of four clients. Which of the following clients is the priority for the nurse to see -A client who has chest tubes and...

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  • October 12, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • medsurg vati assessment 90 qs and answers correct

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  • Medsurg
  • Medsurg

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MEDSURG VATI ASSESSMENT 90 Q'S an uf uf uf uf uf




d answers correct and verified 100%
uf uf uf uf uf




Aufnurseufisufassistingufwithuftheufcareufofuffourufclients.ufWhichufofuftheuffollowingufclientsufisuftheufpriorityuffor

theufnurseuftoufsee



-AufclientufwhoufhasufchestuftubesufandufanufoxygenufSatufofuf90%

-ufaclientufwhoufhasufperipheralufedemaufandufurinaryufoutputufofuf130ufoveruf4hrs

-ufAufclientufwhoufhasufaufpermanentufpacemakerufwithufheartufrateufofuf76/min

-aufclientufwhoufhasufpericarditisufanduftemp.uf38ufcuf100.4uf-ufcorrectufanswers--
ufAufclientufwhoufhasufchestuftubesufandufanufoxygenufSatufofuf90%




Usinguftheufairway,ufbreathing,ufandufcirculationufapproachuftoufclientufcare,uftheufnurseufshouldufdetermineuftha
tuftheufpriorityuffindingufisuftheufclient'sufoxygenufsaturationuflevel,ufwhichufisufbelowuftheufexpectedufreferenceufr
angeufofuf95%uftouf100%.ufTherefore,uftheufnurseufshouldufattenduftoufthisufclientuffirst.

AufnurseufisufcollectingufdatauffromufaufclientufwhoufwasufadmittedufwithufaufGlasgowufComaufScaleufofuf3.ufWhich

ofuftheuffollowinguffindingsufshoulduftheufnurseufexpect?

-ufVacalizesufsound

-Blinksufeyesufwhenufasked

-Followsufmotorufcommands

-NonresponsiveufCommandsuf-ufcorrectufanswers-NonresponsiveufCommands



AufclientufwhoufhasufaufGCSufofuflessufthanuf8ufhasufevidenceufofufsevereufheadufinjuryufandufisufinufaufcomatoseufstat
e.ufTheufGCSufisufaufstandardizeduftoolufthatufallowsufforuftheufevaluationufofufaufclient'suflevelufofufconsciousness.uf
Theuftestufisufdividedufintoufthreeufsectionsufthatufevaluateufeyeufopening,ufmotorufresponse,ufandufverbalufrespo
nse.ufTheufGCSufrangesuffromufaufhighufscoreufofuf15uf(fullyufalert)uftoufauflowufscoreufofuf3uf(fullyufcomatose).

Aufnurseufisufmonitoringufaufclientufwhoufhasufaufpneumothoraxufandufaufchestuftubeufinufplaceufwithufaufclosedufch
estufdrainageufsystemufconnecteduftouflowufsuction.ufForufwhichufofuftheuffollowinguffindingsufshoulduftheufnurseu
fnotifyuftheufchargeufnurse

,-ufFluctationufofuftheufwateruflevelufinuftheufwaterufsealufchamber

-constantufbublingufinuftheufsuctionufcontrolufchamber

-ufperiodicufbubblingufinuftheufwaterufsealufchamber

-ufPersistentufbubblingufinuftheufwaterufsealufchamberuf-ufcorrectufanswers--
ufPersistentufbubblingufinuftheufwaterufsealufchamber




Excessiveufandufpersistentufbubblingufinuftheufwater-
sealufchamberufindicatesufanufairufleakufinuftheufdrainageufsystem.ufTheufnurseufshouldufnotifyuftheufchargeufnurse
ufofufthisuffinding.



Aufnurseufisufreinforcingufteachingufwithufaufmaleufclientufwhoufhasufrightufsidedufhemiparesisufabout

preformingufADL's.ufWhichufofuftheuffollowingufinstructionsufshoulduftheufnurseufincludeufinuftheufteaching

-Combufyourufhairufwithuftheufunaffectedufarm

-Dressufyourufunaffectedufsideuffirst

chooseufclothingufwithufbuttons

-shaveufwithufyourufaffectedufsideuf-ufcorrectufanswers-Combufyourufhairufwithuftheufunaffectedufarm



Theufnurseufshouldufinstructuftheufclientuftoufbrushuftheirufhairufwithuftheufunaffectedufarmuftoufreduceuffrustratio
nufandufincreaseufindependenceufandufself-esteem.

Aufnurseufisufcollectingufdatauffromufaufclientufandufauscultatesufintermittentufhigh-
pitchedufsoundsufduringufinspirationufoveruftheuflowerufbaseufofuftheuflungs.ufTheufnurseufshouldufidentifyufthisuffi
ndingufasufwhichufofuftheuffollowinguflungsufsounds



-ufFineufcrackles

-stridor

-rhonchi

-frictionuf-ufcorrectufanswers--ufFineufcrackles



Fineufcracklesufareufauscultatedufinuftheufbaseufofuftheuflungsufasufairufmovesufthroughufairwayufsecretions.ufFineuf
cracklesufareufintermittent,ufhigh-pitchedufsoundsufheardufmoreufoftenufduringufinspiration.

Aufnurseufisufcollectingufdatauffromufaufclientufwhoufhasufcoronaryufarteryufdisease.ufWhichufofuftheuffollowing

manifestationsufshoulduftheufnurseufidentifyufasufanufindicationufthatuftheufclientufhasufanginauf(ufSatA)

, -ufChestufDiscomfortufRadiated

-ufPainuflastinguflessufthatuf15mins

-ufPainufthatufisufrelievedufwithufrestuf-ufcorrectufanswers--ufChestufDiscomfortufRadiated

-ufPainuflastinguflessufthatuf15mins

-ufPainufthatufisufrelievedufwithufres

Aufnurseufisufreceivingufchange-of-shiftufreportufforufaufgroupufofufclients.ufWhichufofuftheuffollowingufclients

shoulduftheufnurseufplanuftoufseeuffirst?

-ufAufclientufwhoufhasufdiabetesufmellitusufwithufdiaphoreticuf-ufcorrectufanswers-
Aufclientufwhoufhasufdiabetesufmellitusufwithufdiaphoretic



Whenufusinguftheufurgentufvs.ufnonurgentufapproachuftoufclientufcare,uftheufnurseufshouldufdetermineufthatuftheuf
priorityufactionufisuftoufattenduftoufaufclientufwhoufhasufdiabetesufmellitusufandufisufdiaphoretic.ufDiaphoresisufisufa
ufmanifestationufofufhypoglycemiaufandufcanufleaduftoufdecreasedufcerebraluffunction.ufTheufnurseufshouldufchec

kuftheufclient'sufbloodufglucoseufandufadministerufauffast-actingufglucoseufasufprescribed.

Aufnurseufisufcollectingufdatauffromufaufclientufwhoufhasuftuberculosisufandufstartedufcombinationuftherapy

2monthsufago.ufWhichufofuftheuffollowingufdiagnosticufresultsufindicatesufthatuftheufclientufisufadheringuftoufthe

medicationufregimen.

-ufAufnegativeufchestufX-ray

-ufAufnegativeufsputumufculture

-Aufnegativeuftuberculinufskinuftest

-Aufnegativeuftiterufforufcytomegalovirusuf-ufcorrectufanswers-Aufnegativeufsputumufculture



Tuberculosisufisufanufinfectiousufdiseaseufspreadufthroughufairborneufdroplets.ufSputumufculturesufareufobtaine
duftoufbothufdiagnoseuftuberculosisufanduftoufdetermineufwhetheruftheufmedicationuftreatmentufhasufbeenufeffe
ctive.ufAfteruftheufclientufbeginsufantibioticuftreatmentufforuftuberculosis,ufaufsputumufcultureufisufobtainedufmon
thly.ufAufnegativeufcultureufisufanufindicationufthatuftheufclientufisufnouflongerufinfectiousufanduftheufmedicationufth
erapyufhasufbeenufeffective.

Aufnurseufisufcollectingufdatauffromufaufclientufwhoufhasufbacterialufmeningitis.ufWhichufofuftheuffollowing

findingsufshoulduftheufnurseufexpect?

-ufSevereufHeadacheuf-ufcorrectufanswers--ufSevereufHeadache

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