vati exam

A 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 ques...

A 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 pres...

A 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 pres...

A nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of the following manifestations should the nurse monitor to prevent fluid volume overload? (Select all that apply.) A. Dyspnea B. Gastrointestinal bloating C. Jugular vein distention D. Confus...

Low-residue diet - correct answer Dairy products & eggs, such as custard and yogurt (Rat) A low-residue diet consists of foods that are low in fiber and are easy to digest such as eggs, custard, yogurt and ripe bananas - NOTE Legumes such as lentils and black beans are high in fiber and are not c...

A nurse is collecting data from a client who has acute cholecystitis. Which of the following manifestations should the nurse expect? - correct answer Pain radiating to the right shoulder. A nurse is reinforcing teaching with a client who has a prescription for clopidogrel following a thrombotic s...

A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for acute lymphoid leukemia. The nurse should inform the parent that the child will undergo which of the following tests to confirm the diagnosis? - correct answer Bone Marrow biopsy A nurse is plannin...

A nurse is planning care for a client following a suicide attempt. Which of the following interventions should the nurse include in the plan? - correct answer Provide the client with plastic eating utensils. -The client can use glass dishes and metal silverware to cause self harm, therefore, the ...

A nurse is assisting with the care of a client immediately following electroconvulsive therapy (ECT). Which of the following findings should the nurse document as an unexpected response to the procedure? - correct answer Irregular heart rhythm An irregular heart rhythm is an unexpected response ...

A nurse in a long-term care facility enters the day room and finds the window curtains on fire. Clients are panicking and the room is filling with smoke. Indicate the emergency actions the nurse must take. (Move the steps into the box on the right, placing them in the order of performance. Use all t...

A nurse is providing teaching to a pt prescribed cipro what is an adverse effect the nurse should include in the teaching? - correct answer phototoxicity. avoid direct sunlight, wear sunglasses and protective clothing. discontinue ASAP is phototoxicity occurs. Tendon rupture is another adv...