Vati Remediation
1. ÏConsume a low-fat diet rich in HDL sources (seafood, nuts, olive oil). Ï Participate
in a regular exercise program. Ï Do not smoke.: 1. List three (3) teaching points the
nurse can provide a client with cholelithiasis on dietary choices for symptom management.
2. · If missing would required clarification with the provider.
· Route, dosage
· It has to be administered at least over 60 minutes.: A nurse reviews an order for
ceftriaxone in combination with vancomycin for a client diagnosed with meningitis.
Identify three (3) components of the medication prescriptions that, if missing, would
require clarification with the provider
3. ÏConsume adequate amounts of calcium and vitamin D, from food or sup-
plements, especially during young adulthood.
ï Foods rich in vitamin D are most fish, egg yolks, fortified milk, and cereal. ï Foods
rich in calcium are milk products, green leafy vegetables, fortified orange juice and
cereals, red and white beans, and figs. Some soy and rice products are fortified
with vitamin D and calcium.
Ï Spend time outdoors to increase the body's production of vitamin D. Expo- sure to
the sun for any length of time should include wearing sunscreen to avoid getting a
sunburn.
Ï Engage in weight-bearing exercises (walking, lifting weights). These activities
promote bone rebuilding and maintenance: An older client asks a nurse what she can do
to minimize the risk of developing osteoporosis. Identify 3 (three) health promotion
activities the client should implement.
4. · Memory lapses
· Losing or misplacing items
· Difficulty concentrating and organizing.
· Unable to remember material just read.: A nurse cares for a client whose family
member voices concern that the client may have Alzheimer's. List four (4)
manifestations associated with mild Alzheimer's Disease.
5. · Assess neurovascular status of the affected body part every hour for 24 hr
and every 4 hr after that. Ï Maintain body alignment and realign if
the client seems uncomfortable or reports pain. Ï Avoid lifting or removing weights.
Ï Ensure that weights hang freely and are not resting on the floor. f the weights are
accidentally displaced, replace the weights. If the problem is not corrected, notify
the provider. Ï Ensure that pulley ropes are free of
knots, fraying, loosening, and improper positioning at least every 8 to 12 hr. Ï Notify
the provider if the client experiences severe pain from muscle spasms unrelieved with
medications or repositioning. Routinely monitor skin integrity and document. Ï Use
heat/massage as prescribed to treat muscle spasms. Ï
, Vati Remediation
Use therapeutic touch and relaxation techniques. Pin care is done frequently
throughout immobilization (skeletal traction and external fixation methods) to
prevent and to monitor for manifestations of infection. ï Drainage and redness (color,
amount, odor): A nurse is caring for a client in skeletal traction. What guidelines should
the nurse observe regarding traction?
6. ïTake pulse daily at the same time for those with pacemakers or combination
devices. Notify the provider if heart rate is less than the pacemaker rate.
ï Report dizziness, fainting, fatigue, weakness, chest pain, hiccuping, palpita- tions,
difficulty breathing, or weight gain
ï Never place items that generate a magnetic field directly over the pacemaker
generator. These items can affect function and settings. This includes garage door
openers, burglar alarms, strong magnets, generators and other power transmitters,
and large stereo speakers. The use of household items is not prohibited.
ï Inform airport security personnel about the presence of a pacemaker/ICD, because
it will set off airport security detectors. The airport security device should not affect
pacemaker functioning. Airport security personnel should not place wand detection
devices directly over the pacemaker or ICD.: A
nurse is providing discharge teaching to a client following a permanent pacemaker
insertion. List four (4) important teaching points that need to be included.
7. ÏAbdominal pain in the right lower quadrant Ï Rigid abdomen Ï Decreased or
absent bowel sounds Ï Fever Ï Diarrhea or constipation Ï Lethargy Ï Tachycardia Ï
Rapid, shallow breathing Ï Anorexia Ï Possible vomiting
Computed tomography scan shows an enlarged diameter of appendix, as well as
thickening of the appendiceal wall.: The nurse is performing a focused gastrointestinal
assessment on a client who complains of fever and abdominal pain for 2 days. What
additional assessment findings alert the nurse to the possibility of appendicitis?Suggested
Adult Med Surg Learning Activity: Appendicitis
8. Many remember to hold digoxin for HR < 60 in adults, but don't know for
children and infants. Hold for HR < 70 in children and HR < 90 in infants. Did you
know there are herbals that interact with warfarin? Remember the 4 G's: ginseng,
garlic, ginkgo biloba, and ginger: Digoxin teaching
9. Respect the client's right to refuse any medication. Explain the conse- quences,
inform the provider, and document the refusal.: A client is refusing to take morning
medications. How should the nurse respond?
10.uterine rupture, uterine tachysystole, placental abruption: A new nurse is
orienting to the labor and delivery unit. List three (3) potential adverse effects this new
nurse should know prior to administering oxytocin
, Vati Remediation
11.Jitteriness, irritability, increased tone and reflex responses, seizures: A nurse is
caring for a newborn whose mother is an alcoholic. Describe withdrawal symptoms this
newborn may exhibit.
12. -Contraindicated in clients who have disturbances in ventricular rhythm,
including ventricular fibrillation, ventricular tachycardia, and second-and third-
degree heart block.
-Use cautiously in clients who have hypokalemia, partial av block, advanced heart
failure, and impaired kidney function.: A 36-year-old client is prescribed digoxin for
heart failure. What are two (2) contraindications for the use of digox- in?Suggested
Pharmacology Learning Activity: Heart Failure
13. Excessive muscarinic stimulation.
Cholinergic crisis: A nurse is caring for a surgical client who is prescribed neostig- mine
for treatment of -myasthenia gravis. List two (2) potential adverse effect the nurse should
be aware of while providing this treatment
14.Iron levels, Hgb and Hct.: A client has been taking epoetin alfa to stimulate RBC
growth for 5 days. Identify two (2) lab values the nurse will monitor to assess therapeutic
effect.Suggested Pharmacology Learning Activities: Growth Factors
15.potassium levels: A nurse is caring for a client taking captopril. List a lab result that
shows evidence of an adverse reaction secondary to administration of captopril that needs
to be reported immediately to the provider
16.If the patient has latex allergy, then the team must use latex-free gloves,
equipment, and supplies. Most facilities use non latex gloves.: A nurse is preparing for
a procedure with a client who has a latex allergy. What action should the nurse take
regarding this allergy?
17. -Have 1 or more staff members assist with positioning clients.
-Prepare the environment by removing obstacles prior to the procedure.
-Be aware that the safest way to lift a client is with assistive equipment.: List three (3)
best practices to prevent injury when moving a client up in bed.
18.Types of complicated grief include chronic, exaggerated, masked, and delayed
grief. Ï Complicated grief involves difficult progression through the expected stages of
grief. Ï Usually, the work of grief is prolonged. The man- ifestations of grief are more
severe, and they can result in depression or exacerbate a preexisting disorder. Ï The
client can develop suicidal ideation, intense feelings of guilt, and lowered self-esteem. Ï
Somatic complaints persist for an extended period of time.: Identify and describe the
types of complicated grief
19. The client holds the cane on the stronger side of the body
Proceeding with Ambulation:
1. the patient stands with weight evenly distributed between the feet and the
1. ÏConsume a low-fat diet rich in HDL sources (seafood, nuts, olive oil). Ï Participate
in a regular exercise program. Ï Do not smoke.: 1. List three (3) teaching points the
nurse can provide a client with cholelithiasis on dietary choices for symptom management.
2. · If missing would required clarification with the provider.
· Route, dosage
· It has to be administered at least over 60 minutes.: A nurse reviews an order for
ceftriaxone in combination with vancomycin for a client diagnosed with meningitis.
Identify three (3) components of the medication prescriptions that, if missing, would
require clarification with the provider
3. ÏConsume adequate amounts of calcium and vitamin D, from food or sup-
plements, especially during young adulthood.
ï Foods rich in vitamin D are most fish, egg yolks, fortified milk, and cereal. ï Foods
rich in calcium are milk products, green leafy vegetables, fortified orange juice and
cereals, red and white beans, and figs. Some soy and rice products are fortified
with vitamin D and calcium.
Ï Spend time outdoors to increase the body's production of vitamin D. Expo- sure to
the sun for any length of time should include wearing sunscreen to avoid getting a
sunburn.
Ï Engage in weight-bearing exercises (walking, lifting weights). These activities
promote bone rebuilding and maintenance: An older client asks a nurse what she can do
to minimize the risk of developing osteoporosis. Identify 3 (three) health promotion
activities the client should implement.
4. · Memory lapses
· Losing or misplacing items
· Difficulty concentrating and organizing.
· Unable to remember material just read.: A nurse cares for a client whose family
member voices concern that the client may have Alzheimer's. List four (4)
manifestations associated with mild Alzheimer's Disease.
5. · Assess neurovascular status of the affected body part every hour for 24 hr
and every 4 hr after that. Ï Maintain body alignment and realign if
the client seems uncomfortable or reports pain. Ï Avoid lifting or removing weights.
Ï Ensure that weights hang freely and are not resting on the floor. f the weights are
accidentally displaced, replace the weights. If the problem is not corrected, notify
the provider. Ï Ensure that pulley ropes are free of
knots, fraying, loosening, and improper positioning at least every 8 to 12 hr. Ï Notify
the provider if the client experiences severe pain from muscle spasms unrelieved with
medications or repositioning. Routinely monitor skin integrity and document. Ï Use
heat/massage as prescribed to treat muscle spasms. Ï
, Vati Remediation
Use therapeutic touch and relaxation techniques. Pin care is done frequently
throughout immobilization (skeletal traction and external fixation methods) to
prevent and to monitor for manifestations of infection. ï Drainage and redness (color,
amount, odor): A nurse is caring for a client in skeletal traction. What guidelines should
the nurse observe regarding traction?
6. ïTake pulse daily at the same time for those with pacemakers or combination
devices. Notify the provider if heart rate is less than the pacemaker rate.
ï Report dizziness, fainting, fatigue, weakness, chest pain, hiccuping, palpita- tions,
difficulty breathing, or weight gain
ï Never place items that generate a magnetic field directly over the pacemaker
generator. These items can affect function and settings. This includes garage door
openers, burglar alarms, strong magnets, generators and other power transmitters,
and large stereo speakers. The use of household items is not prohibited.
ï Inform airport security personnel about the presence of a pacemaker/ICD, because
it will set off airport security detectors. The airport security device should not affect
pacemaker functioning. Airport security personnel should not place wand detection
devices directly over the pacemaker or ICD.: A
nurse is providing discharge teaching to a client following a permanent pacemaker
insertion. List four (4) important teaching points that need to be included.
7. ÏAbdominal pain in the right lower quadrant Ï Rigid abdomen Ï Decreased or
absent bowel sounds Ï Fever Ï Diarrhea or constipation Ï Lethargy Ï Tachycardia Ï
Rapid, shallow breathing Ï Anorexia Ï Possible vomiting
Computed tomography scan shows an enlarged diameter of appendix, as well as
thickening of the appendiceal wall.: The nurse is performing a focused gastrointestinal
assessment on a client who complains of fever and abdominal pain for 2 days. What
additional assessment findings alert the nurse to the possibility of appendicitis?Suggested
Adult Med Surg Learning Activity: Appendicitis
8. Many remember to hold digoxin for HR < 60 in adults, but don't know for
children and infants. Hold for HR < 70 in children and HR < 90 in infants. Did you
know there are herbals that interact with warfarin? Remember the 4 G's: ginseng,
garlic, ginkgo biloba, and ginger: Digoxin teaching
9. Respect the client's right to refuse any medication. Explain the conse- quences,
inform the provider, and document the refusal.: A client is refusing to take morning
medications. How should the nurse respond?
10.uterine rupture, uterine tachysystole, placental abruption: A new nurse is
orienting to the labor and delivery unit. List three (3) potential adverse effects this new
nurse should know prior to administering oxytocin
, Vati Remediation
11.Jitteriness, irritability, increased tone and reflex responses, seizures: A nurse is
caring for a newborn whose mother is an alcoholic. Describe withdrawal symptoms this
newborn may exhibit.
12. -Contraindicated in clients who have disturbances in ventricular rhythm,
including ventricular fibrillation, ventricular tachycardia, and second-and third-
degree heart block.
-Use cautiously in clients who have hypokalemia, partial av block, advanced heart
failure, and impaired kidney function.: A 36-year-old client is prescribed digoxin for
heart failure. What are two (2) contraindications for the use of digox- in?Suggested
Pharmacology Learning Activity: Heart Failure
13. Excessive muscarinic stimulation.
Cholinergic crisis: A nurse is caring for a surgical client who is prescribed neostig- mine
for treatment of -myasthenia gravis. List two (2) potential adverse effect the nurse should
be aware of while providing this treatment
14.Iron levels, Hgb and Hct.: A client has been taking epoetin alfa to stimulate RBC
growth for 5 days. Identify two (2) lab values the nurse will monitor to assess therapeutic
effect.Suggested Pharmacology Learning Activities: Growth Factors
15.potassium levels: A nurse is caring for a client taking captopril. List a lab result that
shows evidence of an adverse reaction secondary to administration of captopril that needs
to be reported immediately to the provider
16.If the patient has latex allergy, then the team must use latex-free gloves,
equipment, and supplies. Most facilities use non latex gloves.: A nurse is preparing for
a procedure with a client who has a latex allergy. What action should the nurse take
regarding this allergy?
17. -Have 1 or more staff members assist with positioning clients.
-Prepare the environment by removing obstacles prior to the procedure.
-Be aware that the safest way to lift a client is with assistive equipment.: List three (3)
best practices to prevent injury when moving a client up in bed.
18.Types of complicated grief include chronic, exaggerated, masked, and delayed
grief. Ï Complicated grief involves difficult progression through the expected stages of
grief. Ï Usually, the work of grief is prolonged. The man- ifestations of grief are more
severe, and they can result in depression or exacerbate a preexisting disorder. Ï The
client can develop suicidal ideation, intense feelings of guilt, and lowered self-esteem. Ï
Somatic complaints persist for an extended period of time.: Identify and describe the
types of complicated grief
19. The client holds the cane on the stronger side of the body
Proceeding with Ambulation:
1. the patient stands with weight evenly distributed between the feet and the
