VATI MED SURG WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST 2024 – 2025
ALREADY GRADED A+
A nurse is assessing a client who has an exacerbation of diverticular disease. In
which of the following quadrants should the nurse anticipate the client to be
experiencing abdominal pain? - ANSWERS-LEFT LOWER QUADRANT.
- Diverticula commonly develop in the sigmoid colon because of the high pressure
it takes to move stool into the rectum. Therefore, the pain with this disorder is
often in the left lower quadrant.
A nurse is planning care for a client who has a lump in their right breast. Which of
the following findings increases the client's risk of developing breast cancer? -
ANSWERS-MENOPAUSAL OBESITY
- Clients who take hormones, such as estrogen therapy, fertility drugs, and oral
contraceptives, have an increased risk of developing breast cancer.
A nurse is providing teaching for a client who has constipation-predominant
irritable bowel syndrome (IBS-C). Which of the following statements should the
nurse include in the teaching? - ANSWERS-TAKE PSYLLIUM IN THE EVENING.
,- A client who has IBS-C should take a bulk-forming laxative, such as psyllium, to
increase the bulk of the stool, reduce constipation, and promote regular bowel
movements.
A nurse is caring for a client who is receiving mechanical ventilation. Which of the
following actions should the nurse implement to decrease the client's risk for
ventilator-associated pneumonia (VAP)? - ANSWERS-Monitor for oral secretion
every 2 hours
-The nurse should monitor for oral secretion's at least every 2hrs to decrease the
likelihood of micro organisms moving from the mouth into the respiratory tract.
Provide oral care every 2 hours
-The nurse should provide oral care every 2hrs using chlorhexidine rinse or
sodium chloride solution with swabbing or tooth brushing.
Assess the client daily for readiness of extubation.
-To lower the risk of the client acquiring VAP, the nurse should assess the client
daily for neurological readiness for discontinuing mechanical ventilation.
A nurse is planning care for a client who is receiving intermittent IV fluids via a
peripherally inserted central catheter (PICC). Which of the following information
,should the nurse include in the client's plan of care? - ANSWERS-ASSESS THE PICC
INFUSION SYSTEM SYSTEMATICALLY.
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse
should identify which of the following lesion characteristics on the client's skin? -
ANSWERS-A pearly, waxy nodule.
- Basal cell carcinoma has a nodular lesion with well defined borders & pearly or
waxy appearance resulting from overexposure to the sun. especially on the face,
head, and neck.
-A client who has melanoma has a lesion with irregular borders and variegated
colors of red, white, and blue, most often on the upper back or lower legs.
-A client who has squamous cell carcinoma has a firm, nodular, and crusty lesion
with a ulcerated center, resulting from sun exposure, chronic irritation, burns, or
irradiation to the skin.
A nurse in an emergency department is assessing a client who is overusing
prescribed diuretics and has a sodium level of 127 mEq/L. Which of the following
laboratory findings should the nurse expect? - ANSWERS-LOW URINE SPECFIC
GRAVITY.
-A client who has hyponatremia as a result of diuretic overuse has a low urine
specific gravity. The increased excretion of water alters the ratio of particulate
matter, which affects the specific gravity.
A home health nurse is assisting a client with planning care for a family member
who has Alzheimer's disease. Which of the following instructions should the nurse
include? - ANSWERS-Remove clutter from rooms and hallways
, - This allows the client is able to walk without the risk of falling or tripping over
objects. Later in the disease, the client can experience seizures, so cluttered areas
could be a risk to the client
A nurse is caring for a client who has developed acute respiratory distress
syndrome (ARDS). Which of the following findings should the nurse identify as a
manifestation of this syndrome? - ANSWERS-REFRACTORY HYPOXEMIA
- A client who has ARDS has refractory hypoxemia, which is hypoxemia that does
not improve with oxygen therapy. Extensive pulmonary edema evident on a chest
x-ray is a manifestation of ARDS.
An emergency room nurse is assessing a client who has asthma and difficulty
breathing. Which of the following findings should indicate to the nurse that the
client is experiencing status asthmaticus? - ANSWERS-USE OF ASSCESSORY
MUSCLES.
- A client who has status asthmaticus uses accessory muscles to help facilitate
breathing, which is a manifestation of a severe airflow obstruction. The situation
is life-threatening and the nurse should intervene immediately with strong
systemic bronchodilators, epinephrine, corticosteroids, and oxygen.
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