VATI PN MED SURG PROCTORED 2024
EXAM COMPLETE ACCURATE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A nurse is administering a tap water enema to a
client who has constipation. The client reports
abdominal cramping during instillation of the enema.
Which of the following actions should the nurse
take? - ....ANSWER...Slow the rate of fluid flow
The nurse should slow down the flow of the enema
fluid to allow the intestinal spasm to pass if
cramping occurs during administration of the enema.
Lowering the helght of the enema bag will decrease
the rate the fluid enters the bowel. Tap water
enemas consist of 500 ml to 1Lof fluid that is
instilled into the bowel to soften feces. The volume
of fluid stimulates peristalsis.
,A nurse is reinforcing teaching about mammograms
with an adult client who is postmenopausal. Which of
the following statements indicates to the nurse that
the client understands the teaching? - ....ANSWER...I
should have a mammogram every 1 to 2 years."
The nurse should remind the client that the
American Cancer Society recommends clients
continue to have a mammogram every 1 to 2 years
as they age and are in good health.
A nurse is collecting data from a client and
auscultates intermittent high-pitched sounds during
inspiration over the lower base of the lungs. The
nurse should identify this finding as which of the
following lung sounds? - ....ANSWER...Fine crackles
Fine crackles are auscultated in the base of the
lungs as air moves through airway secretions. Fine
crackles are intermittent, high-pitched sounds heard
more often during inspiration.
A nurse is assisting with the care of four clients.
Which of the following clients is the priority for the
, nurse to see? - ....ANSWER...A client who has chest
tubes and an oxygen saturation of 90%
Using the airway, breathing, and circulation
approach to client care, the nurse should determine
that the priority finding is the client's oxygen
saturation level, which is below the expected
reference range of 95% to 100%. Therefore, the nurse
should attend to this client first.
A nurse is preparing to perform a closed irrigation of
an indwelling urinary catheter for a client who had
abdominal surgery. Which of the following actions
should the nurse plan to take? - ....ANSWER...Stop
the irrigatian if resistance is felt during fiuid
instillation.
The nurse should plan to discontinue the irrigation
and contact the provider if resistance is felt. This can
indicate the client has a total occlusion of the
catheter or that the catheter is displaced.
A nurse is reviewing the medical record of a client
who has systemic lupus erythematosus (SLE). Which
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