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ATI, Virtual ATI predictor, Comprehensive predictor test Verified/Correct answers, VATI Greenlight, VATI (Q & A Bank 2023) New TESTBANK
The nurse knows that a modifiable risk factor related to reducing the possibility of a second myocardial infarction would be which factor?
{{Ans- . Change of die...
ATI, Virtual ATI predictor, Comprehensive predictor test Verified/Correct answers, VATI Greenlight, VATI (Q & A Bank 202 3) New TESTBANK The nurse knows that a modifiable risk factor related to reducing the possibility of a second myocardial infarction would be which factor? {{Ans - . Change of diet to reduce fat intake The nurse cares for the client who returned from a traditional cholecystectomy 45 minutes ago. Since that time, the client's NG tube has been draining 75 -100 mL per hour and the fluid appears to be slightly blood tinged. The nurse must take which action first? {{Ans - . Report the condition to the RN immediately The nurse begins to prepare the deceased body for viewing by the family due to arrive in 20 minutes. The nurse is paged to assist a client to eat breakfast and to help another with morning care and transfer to the chair. Which action by the nurse is most appropriate? {{Ans - . Delegate the clients requiring help with breakfast and morning care to the nursing assistive personnel and continue to prepare the body The nurse observes the client falling out of a chair; which action should the nurse take first? {{Ans - . Stay with the client and ask the AP to get the RN The nurse should offer the client which food for a clear liquid diet? {{Ans - . ½ cup of strawberry gelatin The nurse observes an AP place a hot water bottle directly on the skin of an elderly patient. Which of the following action should the nurse take first? {{Ans - . Immediately remove the hot water bottle The client insist that the nurse remove her vest restraint "immediately". What action by the nurse is best? {{Ans - . Check the health care provider's order to determine the criteria for removing the restraint . . The nurse knows that the treatment for pleurisy is which implementation? {{Ans - . An anti -inflammatory medication The nurse works with the client taking phenytoin for seizure prevention. Which instruction is the most essential for the nurse to reinforce regarding this medication? {{Ans - . Notify the health care provider immediately if a skin rash develops The RN mentions that the client diagnosed with borderline personality disorder uses the defense mechanism of splitting. The nurse recognizes which presentation exemplifies splitting? {{Ans - . Views other as either all good or all bad The elderly client is admitted with severe substernal chest pain, tachypnea and tachycardia. The client's skin is cool and clammy. The client becomes listless and has d ecrease in level of consciousness. The nurse correctly identifies the cause of the client's symptoms as which process? {{Ans - . Cardiogenic shock The nurse cares for the client diagnosed with a tension pneumothorax. The client asks the nurse, "which is the most serious complication?". Which is the best response by the nurse? {{Ans - . Mediastinal shift The nurse identifies which position is the best for the client immediately post liver biopsy? {{Ans - . Right side -lying Following a tornado, the nurse assists a disaster team by gathering data for victims who are not physically injured. Which interview question is the best? {{Ans - . Please share with me what help you need at this time. . The client diagnosed with asthma currently takes beclomethasone dipropionate. The nurse is aware that the most serious side effect of this medication are which findings? {{Ans - . Bronchospasm and angioedema The nurse cares for an elderly client diagnosed with type 2 DM and partial -thickness burns of unknown origin on the lower legs and feet. Which reason if stated by the nurse is most likely cause of the burns? {{Ans - . Diabetes not being managed appropriatel y . The client reports a sad mood, loss of pleasure in usually pleasurable things, and an inability to sleep through the night. No manic episodes or psychotic behavior is noted in the outpatient clinic. The nurse correctly understands that which diagnosis matches this client's presentation? {{Ans - . Major depression For three weeks, the client with a spinal cord injury at C7 and has had intensive sessions with PT TID. the nurse determines the client is making expected progress if which finding is observed? {{Ans - . The client is able to independently complete ADL The HCP orders alprazolam 0.5 mg tablet PO TID. the available tablet contains 0.25 mg. How many tablets should the nurse give? {{Ans - 6 tabs The client states "I just haven't felt the best lately, I don't know what it is, I am not feeling like my usual self." Based on the client's hx of two previous MI and HF, which question should the nurse ask? {{Ans - . Have you had any swelling in your feet or lower legs? The middle aged adult reports fatigue, insomnia, and difficulty focusing on tasks. The client has three teenagers in the home and is the primary caregiver for the client's elderly mother with significant health problems. The nurse knows that one of the difficulties in this situation is what? {{Ans - . Being a member of sandwich generation The 3 month old infant was brought to the emergency room with a dx of SIDS. which question is the most appropriate for the nurse to ask? {{Ans - . What did the baby look like when you found him/her The nurse suctions the client's trache, what is the most important action? {{Ans - . Apply suction no longer than 10 seconds The nurse instructs the AP to complete a bath for the client. The AP claims that they do not have enough time. What action should the nurse take? {{Ans - . Report to supervisor Which instruction is essential for the nurse to give the client who has venous thromboembolism of the left leg? {{Ans - . Bed rest must be maintained until the anticoagulant therapy is begun 163. Client has COPD and pulmonary edema. Action {{Ans - . Raise the head of the bed A nurse Is collecting data from a client who received oxytocin 10 units IM 30 min ago for excessive vaginal bleeding. Which of the following findings should the nurse expect? {{Ans - - Client report of uterine cramping A nurse is assisting with discharge planning for a group of clients. Which of the following clients should the nurse recommend for a home care referral. {{Ans - An older adult client who has heart failure and lives alone A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The caregiver reports that client has difficulty sleeping at night and wonder throughout the house. Which of the following interventions for the nurse recommend.
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