VATI MEDICAL SURGICAL FINAL ASSESSMENT 2023 _GUARANTEED PASS A

VATI MEDICAL SURGICAL FINAL ASSESSMENT 2023 _GUARANTEED PASS A A nurse is preparing to discharge a client who is postop following a hip arthroplasty. Which of the following equipment should the nurse ensure that the client has available at home prior to discharge? Elevated toilet seat. A nurse is assessing a client who has suspected appendicitis. Which of the following manifestations should the nurse expect? SATA Elevated WBC Rebound tenderness Anorexia A nurse is teaching a client who has a new diagnosis of type 1 DM. Which of the following statements by the client indicates an understanding of the teaching? "I am aware that my diabetes is caused by an autoimmune disorder." A nurse is caring for a male client who has a new prescription for cyclosporine following a kidney transplant. Which of the following findings should the nurse identify as an adverse effect of this therapy? BUN 24 mg/dL A nurse is providing teaching for a client who has neutropenia and is receiving chemotherapy. Which of the following client statements indicates an understanding of the teaching? SATA "I will avoid crowds" "I will take my temperature daily" A nurse is providing teaching to a client who has a new prescription for cephalexin oral suspension. Which of the following statements by the client indicates an understanding of the teaching? "I will keep the medication refrigerated." A nurse is analyzing the ABG results of a client who is in respiratory acidosis. Which of the following mechanisms should the nurse identify as responsible for this acid-base imbalance? Retention of carbon dioxide 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? "Take psyllium in the evening." A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the following statements should the nurse include in the teaching? "You will not be able to eat or drink after the procedure until you are able to cough." A nurse is providing preoperative teaching to a client who is scheduled for a radical prostatectomy. Which of the following information should the nurse include in the teaching? A PCA pump will be used for postop pain control. A nurse is providing discharge teaching about infection control at home for a client who has TB. Which of the following statements by the client indicates an understanding of the teaching? "I will place my used tissues in a plastic bag." A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect? Osteoporosis A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage system. Which of the following findings should the nurse report to the provider? Constant bubbling in the water seal chamber. A nurse is assessing a client who takes salmeterol to treat moderate asthma. Which of the following findings should indicate to the nurse that the medication has been effective? The client's daily peak expiratory flow (PEF) measures 85% above personal best. A nurse is assessing a client's ECG strip and notes an irregular heart rate of 98 pbm with no clear p waves. Which of the following cardiac dysrhythmias should the nurse document? A fib 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? LLQ A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone ointment. The nurse should assess the client to monitor for which of the following adverse effects? Thinning of the skin. A nurse is performing a risk assessment for a client. Which of the following factors should the nurse identify as increasing the client's risk for falls? The client had cataracts surgery 1 day ago. A nurse is caring for a client who is receiving vancomycin intermittent IV bolus therapy for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following findings is an indication to the nurse that the client is experiencing an adverse effect of the medication? The client is becoming flushed. A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the following findings should the nurse identify as a manifestation of cardiac tamponade? Paradoxical pulse. 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. A pearly, waxy nodule. A nurse is caring for a client who is receiving a transfusion of packed RBCs. The nurse notes that the client's blood type is AB positive an the blood transfusing is labeled type B negative. Which of the following actions should the nurse take? Monitor the client for any adverse reactions? A nurse is caring for a client who has multiple leg fractures and is 24 hr post op following placement of skeletal traction. Which of the following actions should the nurse take? Inspect the pin sites at least every 8 hours. A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the following medications should the nurse instruct the client to avoid? SATA Aspirin Naproxen 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)? Monitor for oral secretions every 2 hrs Provide oral care evert 2 hrs Assess the client daily for readiness for extubation A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse identify as a manifestation of left-sided HF? Frothy sputum A nurse is assessing a client who is undergoing radiation therapy for breast cancer. Which of the following findings is an indication to the nurse that the client is experiencing an adverse effect of the therapy? Skin Changes A nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse plan to take? Place monitoring cords and tubes in a stockinette A nurse is teaching a client about self-management of their halo fixator device. Which of the following information should the nurse include in the teaching? Place a small pillow under the head while lying supine. A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and indwelling urinary catheter. The nurse should identify which of the following findings as an indication of a complication of the surgery? Clear drainage on the dressings. A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take? Report cloudy dialysate drainage to the provider. A nurse is caring for a client who had a surgical repair of an abdominal aortic aneurysm 3 days ago. The client's vital signs are: temp 38.3 degrees celcius, HR 80 bpm, RR 16 bpm, BP 128/76 mmHg. Which of the following actions is the nurse's priorirty? Assess the surgical incision for signs of infection. What natural supplement/homeopathic remedy is used to help heal burns and wounds? Aloe vera What is lavage? Washing out of a body cavity, such as a colon or stomach with water or a medicated solution What is a peritoneal lavage? a diagnostic test in which a catheter is inserted into peritoneal cavity and fluid is aspirated with a syringe. It is most commonly performed to assess for bleeding in abd cavity in clients who have experienced blunt trauma. What are catecholamines? adrenal hormones: dopamine, norepinephrine, epinephrine that help with fight or flight reactions Bag holding formula and other feeding equipment for intermittent enteral feedings should be discarded how often? Every 6 hours to prevent bacterial contamination What are the S/S of addison's disease? -Muscle or joint pain -N/V -abd pain -Postural hypotension -Fatigue -Salt craving -Weight loss Postural hypotension and salt craving may occur with what disease? Addison's disease Skin pigmentation is a specific feature of what disease? Addison's disease. Caused by increased production of melanin Adverse effect of echinacea? Anaphylaxis, specifically in people with asthma What is St. John's wort used for and what is its adverse effect? Depression *Precipitates serotonergic crisis with SSRIs *Precipitates HTNsive crisis with digoxin What is echinacea used for? Colds and flu (boosts immune system) What is Kava used for and what is its adverse effect? Anxiety reduction, insomnia Can cause severe liver damage What herbal supplements increase risk of bleeding? -Garlic -Ginseng -Ginger -Feverfew -Ginkgo biloba What are some complications of untreated growth hormone deficiency? -Delayed sexual development -Short stature -Delayed epiphyseal closure -Stunted bone age -Premature aging What is the primary focus of group therapy? Personal feelings that affect behavior. Group setting allows for feedback that may enhance discovery of how feelings and situations can drive behavior A nurse is caring for a client with reduced mobility who has RA. To help hip flexion deformities associated with RA; the nurse should help the client assume which of the following positions in bed several times a day? Prone. It will help keep the hips and knees in an extended position The nurse is providing care for a client who was admitted with an exacerbation of chronic obstructive pulmonary disease (COPD). On assessment the nurse finds the client to be pale, short of breath, and their lung sounds reveal rhonchi. What is the best initial action by the nurse? Encourage the client to take several deep breaths and perform diaphragmatic coughing. The deep breaths will loosen secretions and coughing deeply will allow these secretions to be expectorated A charge nurse is planning a staff education session to discuss the meds used during the care of a client experiencing GI bleeding. What med should the charge nurse include in discussion? Vasopressin (manmade ADH). It is a vasopressor that can constrict the arterioles and reduce inflow to portal vein What is protamine sulfate used for? Antidote to heparin for clients experiencing a severe bleeding episode What should be done with unused portion of formula used in intermittent enteral feedings? Refrigerated (up to 24 hrs) to prevent bacterial contamination How long should the nurse elevate the HOB for a client after an intermitting feeding? 30-60 minutes Intermittent feedings are administered how often and for how long? 4-6x times/day in equal portions 30-45 min. What material is used for deep granulation of a pressure ulcer? Impregnated gauze and alginate to promote packing of the tissue Pressure wounds with minimal to moderate exudates can be dressed with what? Thin hydrocolloid What is the granulation phase of the healing process (of pressure ulcers)? Initial repair of new tissues are formed to facilitate remodeling of the affected area What is the leading type of healthcare-associated infection? Pneumonia Encephalitis occurs most frequently d/t what? Viruses (e.g. herpes simplex I and II, varicella zoster (chickenpox and shingles); measles, mumps, and rubella How long should a nurse hold direct pressure on puncture sites after administering alteplase? 30 min. or until oozing of blood stops Pramipexole has what adverse effect? Hallucinations. It is used for parkinson's to stimulate brain's DA receptors to decrease tremors and rigidity associated with disease In what trimester do uterine pain and significant bleeding occur? Plot twist! They're never normal and should not occur in any trimester In what trimester will a woman experience frequent urination? 3rd trimester In what trimester will a woman feel the first fetal movements? 2nd trimester In what trimester will a woman feel a renewed sense of energy? 2nd trimester In what trimester will a woman develop breast tenderness? 1st trimester How does STI risk affect boys relative to girls? Women are biologically more receptive than men to infection by sexually transmitted organisms. E.g. girls will get them more readily In most circumstances, when there is a med error, the initial appropriate response will be to? Contact the primary care provider, so that an appropriate order can be given to counteract the med What is a gastric lavage? flushing out the contents or excess fluid from stomach What is the purpose of leucovorin? Folic acid derivative that is used to protect healthy cells from the cytoxic affects of methotrexate A nurse is preparing to initiate IV therapy on a client. What solution is the best choice for preparing the client's skin at the insertion site? Chlorhexadine What is murophobia? Fear of mice What is acrophobia? fear of heights What is mysophobia? fear of dirt and germs How does immobility affect urinary output? Urinary output decreases resulting in urinary stasis, renal stones, urinary retention, and UTIs What is Trousseau's sign? Inflating a BP above systolic pressure that elicits wrist and hand flexion (carpal spasm), indicating hypocalcemia because of nerve excitability What are the manifestations of autonomic dysreflexia? -Bradycardia -Severe HA -Flushing -HTN -Tachypnea What is glossitis and what causes it? Smooth red tongue indicates pernicious anemia What supplement treats nausea caused by vertigo? Ginger root What supplement decreases the risk and severity of symptoms of migraines? Feverfew *It also increases risk of bleeding by decreasing platelet aggregation