VATI Comprehensive Predictor 2024 A charge nurse in a long -term care unit is planning care for a group of clients. Which of the following care tasks should the nurse plan to delegate to an assistive personnel? - CORRECT ANSWER Measuring urine output every 2 hr for a client recently diagnosed with a urinary tract infection A client who has inoperable cancer tells the nurse that she does not want to pursue the recommended treatment. She asks if the provider can force her to have the treatment. Which of the following is an appropriate response by the nurse? - CORRECT ANSWER "You have the right to refuse the recommended treatment plan." A client who is participating in an anger management session explains that his recent behaviors are related to his job loss. Which of the following defense mechanisms is the client using? - CORRECT ANSWER Rationalization A client who is prescribed metoprolol for hypertension tells the nurse, "I don't want to take this medication because makes me tired all the time." Which of the following is the appropriate response? - CORRECT ANSWER "Let's talk with your doctor about other options." A client's daughter calls the nurse requesting information about her mother's condition. The client's chart does not specify that information can be released to the daughter. Which of the following is an appropriate response by the nurse? - CORRECT ANSWER "You will need to contact your mother directly about her condition." A home health nurse is reinforcing teaching with a client about kitchen safety. Which of the following instructions should the nurse reinforce about using a fire extinguisher? - CORRECT ANSWER Sweep the extinguisher from side to side to put out the fire. A nurse and an assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP? - CORRECT ANSWER Document the client's respiratory rate in 1 hr. A nurse collecting data from a client who is receiving a continuous IV infusion of 0.9% sodium chloride. The nurse discovers the IV infusion pump was set incorrectly and the client received 200 mL more than prescribed. Data collection reveals that the client is stable. The nurse recognizes that this incident is not considered malpractice for which of the following reasons? - CORRECT ANSWER The client was not harmed as a result of the incident. A nurse delegates a task to an assistive personnel (AP) and the AP refuses the assigned task. Which of the following actions should the nurse take first? - CORRECT ANSWER Perform the task. A nurse discovers a fire in a trash can in a client's room. Which of the following actions should the nurse take first? - CORRECT ANSWER Walk the client to the waiting room. A nurse from a medical -surgical unit is floating to a postpartum unit. Which of the appropriate assignment for the nurse to accept? - CORRECT ANSWER A client who had a cesarean delivery 24 hr ago A nurse in a clinic is reinforcing teaching with a client who has a new prescription for a combination contraceptive transdermal patch. Which of the following should the nurse include in the teaching? - CORRECT ANSWER Apply the patch to the lower abdomen,"
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