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VATI Med surg questions with correct answers
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VATI Med surg questions with correct answers
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VATI Med surg questions with correct answersA nurse is collecting data from a client who has right-sided heart failure.
Which of the following findings should the nurse expect? (Select all that
apply.) Correct Answer-Poripheral edema
Hepatomegaly
Abdominal distention
A nurse is caring for a client who has heart failure and a new
prescription for furosemide. The nurse should monitor the client for
which of the following adverse effects of the medication? Correct
Answer-Tinnitus
The nurse should monitor clients who take furosemide for tinnitus and
hearing loss. Audiometry is recommended for clients recelving
prolonged IV furosemide.
A nurse is reinforcing teaching with a client who is recovering from
severe diarrhea and is ready to resume eating solid foods. Which of the
following food items should the nurse recommend? Correct Answer-
Yogurt
The nurse should recommend adding yogurt to the diet to provide
probiotics and add substance to the stool, making it more formed. A
client who is recovering from diarrhea should consume a diet that is low
in fiber. Taking probiotics can also help restore the natural
gastrointestinal flora.
,A nurse is monitoring a client who has a new prescription for
furosemide for peripheral edema. For which of the following adverse
effects should the nurse monitor? Correct Answer-Muscle weakness
Furosemide is a loop diuretic, which is used to treat hypertension and
edema. Furosemide can cause excess excretion of potassium. The nurse
should monitor the client for manifestations of hypokalemia such as
nausea, muscle weakness, and spasms.
A nurse is contacting the provider of a client who has heart failure and a
potassium level of 3.4 mEq/L. Which of the following client
medications should the nurse expect the provider to withhold? Correct
Answer-Digoxin
The nurse should expect the provider to withhold digoxin when the
client's potassium level is low to decrease the client's risk of
dysrhythrmias due to digoxin toxicity. Potassium assists in displacing
digoxin, because digoxin binds to potassiurm, and reduces the risk for
digoxin toxicity.
A nurse is assisting with the care of a client who has cellulitis and is
receiving IV ceftriaxone. During data collection, the nurse notes the
client is flushed and the client reports urticaria. After stopping the IV
infusion, which of the following actions should the nurse take first?
Correct Answer-Check the client's respirations.
After stopping the IV infusion, the first action the nurse should take
when using the airway, breathing, circulation approach to client care is
, to count the client's respirations and monitor for dyspnea because a
client experiencing an allergic reaction can progress to anaphylactic
shock and death.
A registered nurse (RN) in an acute care facility is caring for a group of
clients with the assistance of a licensed practical nurse (LPN). Which of
the following tasks should the RN delegate to the LPN? (Select all that
apply.) Correct Answer-Inserting an NG tube
Monitoring an IV infusion
Administering IM medications
A nurse is reinforcing teaching with a young adult client about testicular
self-examination. Which of the following instructions should the nurse
include? Correct Answer-"Examine your testicles after a warm shower."
After exposure to warm water in a shower or bath, the scrotum relaxes
and becomes easy to palpate. The testicle should feel smooth and round,
and the client should report any lumps to his provider.
A nurse is assisting in the planning of a health education class for a
group of older adult clients. Which of the following recommendations
should the nurse include? Correct Answer-Obtain a pneumococcal
immunization
The pneumococcal immunization should be obtained to prevent
pneumonia and is generally given at or near the age of 65, One dose
provides lifelong immunity
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