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(Answered) PN VATI Medical Surgical Re-evaluation Assessment, 2022 Complete.
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(Answered) PN VATI Medical Surgical Re-evaluation Assessment, 2022 Complete.
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PN VATI Medical Surgical Re-evaluation Assessment1. A nurse is caring for a client who just had a endoscopic procedure.
Which of the following is the monitoring priority for this client?
A) Pain
B) Nausea
C) Gag reflex
D) Level of consciousness: Answer- C) Gag reflex
2. A nurse is reinforcing discharge teaching for a client who has chronic
pancreatitis. Which of the following statements by the nurse is
appropriate?
A) "You should decrease your caloric intake when abdominal pain is
pre- sent."
B) "You should increase your daily protein intake."
C) "You should increase fat intake when experiencing loose stools."
D) "You should limit alcohol intake to 2-2 drinks per week.": Answer- B)
"You should increase your daily protein intake."
3. A nurse collects data on a client who returned to the unit four hr ago
following a partial colectomy. Which of the following conditions should
the nurse attend to first?
A) Change the moderately saturated dressing.
1/
,B) Administer analgesic medication for incisional pain.
C) Catheterize for a distended bladder.
D) Cough and deep breathe client.: Answer- B) Administer analgesic
medication for incisional pain.
Rationale: Administer pain medication to establish comfort and then
attend to the other reported condition.
4. A nurse is reinforcing discharge teaching on actions that improve
gas exchange to a client diagnosed with emphysema. Which of the
following instructions should be included in the teaching?
A) Resting in a supine position
B) Elevating arms while performing ADLs
C) Breathing in through the nose and out through pursed lips.
D) Increasing oxygen delivery to 5 L/min during times of distress.: Answer-
C) Breath- ing in through the nose and out through pursed lips.
2/
,5. A nurse is assessing a client who is African-American and who is
jaundice. Which of the following areas are the most reliable for the nurse to
inspect?
A) Palms of hands
B) Hard palate
C) Sclera
D) Nail beds: Hard palate
6. A nurse is reinforcing teaching with a client who has ulcerative colitis
and requires a low fiber diet. The nurse should instruct the client to avoid
which of the following foods?
A) Cooked carrots
B) Dried apricots
C) Ripe bananas
D) White rice: B) Dried apricots
7. A nurse is caring for a client who has a large wound that has a
vacuum-as- sisted closure device placed over it. Which of the following
findings by the nurse indicated healing of the wound.
A) Granulation tussue on the surface of the wound
B) Musty odor from the foam dressing upon removal
C) Sanguineous drainage in the suction device.
D) Peeling of the edges of the transparent dressing: A) Granulation tussue
on the surface of the wound
3/
, 8. A nurse is caring for a toddler admitted to the hospital with acute
gastroen- teritis. Which of the following findings has the highest priority?
A) Weightloss 3% of total body weight.
B) Blood glucose 150 mg/dL
C)Potassium 2.5 mEq/L
D) Urine specific gravity 1.035: C)Potassium 2.5 mEq/L
9. A nurse is reinforcing teaching about preventing long-term
complications of retinopathy and neuropathy with an older adult client who
has diabetes mellitus. Which of the following actions is the most important
for the nurse to include in the teaching?
A) "Plan to have an eye examination once per year."
B) "Examine your feet carefully every day".
C) "Wear closed toed shoes daily."
4/
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