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VATI Med-Surg Post-Assessment with correct answers 2024

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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...

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  • April 28, 2024
  • 14
  • 2023/2024
  • Exam (elaborations)
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VATI Med-Surg Post-Assessment with
correct answers 2024




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 questions the client can answer with a simple "yes" or "no."
D. Use a raised voice when speaking to the client. - correct answer B. Request a
consult with the speech-language pathologist.

The speech-language pathologist can recommend specific communication strategies
for a client who has global aphasia. By identifying this need, the nurse is advocating
for the client.

A client who is newly diagnosed with cancer has been prescribed oral
chemotherapy. The client tells the nurse, "I'm not sure if I want to take this medicine."
Which of the following responses should the nurse make?

A. "I think you should seriously consider the consequences of not going through with
treatment."
B. "You do not have to take any medications that you don't want to."
C. "Tell me more about what is making you feel unsure about taking this medication."
D. "Are you nervous about the side effects of chemotherapy?" - correct answer C.
"Tell me more about what is making you feel unsure about taking this medication."

This is an open-ended statement that allows the client to express their concerns
about the treatment plan.

A nurse is caring for a client who has multiple sclerosis and is unable to maintain a
grip on eating utensils. Which of the following referrals should the nurse make?

A. Speech-language pathologist
B. Physical therapist
C. Registered dietitian
D. Occupational therapist - correct answer D. Occupational therapist

, VATI Med-Surg Post-Assessment with
correct answers 2024




Occupational therapists assist with developing a client's fine motor skills used for
activities of daily living, such as eating, grooming, and hygiene.

A nurse is reviewing the medical record of a client who has a prescription for
liraglutide. Which of the following findings should the nurse identify as a
contraindication to this medication?

A. History of thyroid cancer
B. Concurrent use of metformin
C. Blood glucose 200 mg/dL
D. Albumin 3.8 g/dL - correct answer A. History of thyroid cancer

The nurse should identify a personal or family history of thyroid cancer as a
contraindication to taking liraglutide and notify the provider. Other contraindications
to receiving this medication can include type 1 diabetes mellitus, diabetic
ketoacidosis, and a history of suicidal thoughts or attempts.

A nurse is monitoring a client who has a prescription for ciprofloxacin 400 mg IV
every 12 hr. Which of the following manifestations should the nurse identify as an
adverse effect of this medication?

A. Constipation
B. Anorexia
C. Fever
D. Myalgia - correct answer D. Myalgia

The nurse should identify that myalgia is an adverse effect of ciprofloxacin and can
be an indication that the client might be experiencing tendonitis, which could lead to
tendon rupture. Other adverse effects can include dizziness, agitation, and
confusion.

A nurse is preparing to administer a unit of fresh frozen plasma (FFP) to a client.
Which of the following actions should the nurse plan to take prior to the transfusion?

A. Initiate an IV infusion of dextrose 5% in water.
B. Ensure the FFP is compatible with the client's Rh status.
C. Confirm the plasma compatibility with another nurse.

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