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VATI Med-Surg Pre-Assessment Exam 2024 Actual Questions & Verified Answers Complete 100% Correct by Experts $15.99   Add to cart

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VATI Med-Surg Pre-Assessment Exam 2024 Actual Questions & Verified Answers Complete 100% Correct by Experts

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VATI Med-Surg Pre-Assessment Exam 2024 Actual Questions & Verified Answers Complete 100% Correct by Experts 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 nursemonitor to prevent fluid volume overlo...

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  • October 9, 2024
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  • 2024/2025
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  • VATI
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VATI Med-Surg pre-assessment.pdf file:///C:/Users/HP/Desktop/New%20fl/VATI%20Med-Surg%20pre-




VATI Med-Surg Pre-Assessment Exam

Questions & Answers Verified 100%



1. 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 nursemonitor to prevent

fluid volume overload? (Select all that apply.)


A. Dyspnea

B. Gastrointestinal bloating

C. Jugular vein distention

D. Confusion

E. Hypotension

Answer A. Dyspnea

C. Jugular vein distention

D. Confusion









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Dyspnea is a clinical manifestation of fluid volume overload. Jugular vein distention is a clinical

manifestation of fluid volume overload. Confusion is a clinical manifestation of fluid volume

overload.




2. A nurse is caring for a client who has a spinal cord injury and suspects the client is

developing autonomic dysreflexia.Which of the following actionsshould the nurse take

first?



A. Check the client for a fecal impaction.

B. Examine the client for areas of skin breakdown.

C. Check the client's bladder for distention.

D. Place the client in a sitting position.

Answer D. Place the client in a sitting position.



The nurse should use the least invasive intervention first. Therefore, the nurse should place the

client in a sitting position to decrease the manifestation of hypertension.



The nurse might have to check the client for fecal impaction, which can precipitate autonomic





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dysreflexia. However, the nurse should use a less invasive intervention first. The nurse might

have to examine the client's skin for areas of skin breakdown or pressure, which can trigger

autonomic dysreflexia. However, the nurse should usea less invasive intervention first. The nurse

might have to check the client for bladderdistention, which can precipitate autonomic dysreflexia.

However, the nurse shoulduse a less invasive intervention first.




3. A nurse is teaching a newly licensed nurse about the risk factors for dehis-cence for

clients who have surgical incisions. Which of the following factorsshould the nurse

include in the teaching? (Select all that apply.)



A. Poor nutritional state









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B. Altered mental status

C. Obesity

D. Pain medication administration

E. Wound infection

Answer A. Poor nutritional state

C. Obesity

E. Wound infection




4. A nurse is caring for a client who has an endotracheal tube and is receivingmechanical

ventilation. Which of the following interventions should the nursetake to reduce the risk

for ventilator-associated pneumonia?



A. Position the head of the client's bed in the flat position.

B. Turn the client every 4 hr.

C. Rinse the client's mouth with an antimicrobial solution every 4 hr.

D. Perform hand hygiene prior to suctioning the client's endotracheal tube.

Answer C.Rinse the client's mouth with an antimicrobial solution every 4 hr.







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