VATI Adult Medical Surgical Exam Latest Update (Graded A+)

VATI Adult Medical Surgical Exam Latest Update (Graded A+) A nurse is collecting data from a client who has acute cholecystitis. Which of the following manifestations should the nurse expect? - Pain radiating to the right shoulder. A nurse is reinforcing teaching with a client who has a prescription for clopidogrel following a thrombotic stroke. Which of the following information should the nurse include in the teaching? - "The medication prevents clot formation." A nurse is contributing to the plan of care for a client who is in skeletal traction. Which of the following interventions should the nurse include? - Keep the client's body centered in the bed. A nurse is contributing to the plan of care for a client who has dysphagia following a stroke. Which of the following actions should the nurse include in the plan of care to prevent aspiration? - Keep the client upright for 30 min after a meal. A nurse is reinforcing postoperative teaching with a client who is scheduled for cataract surgery on his right eye. Which of the following instructions should the nurse include? - "Wear a protective eye shield while sleeping." A nurse is collecting data from a client who was admitted with a Glasgow coma scale (GCS) of 3. Which of the following findings should the nurse expect? - Nonresponsive to commands. A nurse is caring for a client who has type 1 diabetes mellitus and has undergone a below-the-knee amputation. Which of the following is the highest priority finding? - Skin flap of the residual limb is cool to the touch. A nurse is reinforcing teaching about the prevention of sexually transmitted infections (STIs) which a client who is sexually active. Which of the following information should the nurse include in the teaching? - Inserting a polyurethane female condom is effective for prevention of STIs. A nurse is administering a tap water enema to a client who has constipation. The client reports abdominal cramping during installation of the enema. Which of the following actions should the nurse take? - Slow the rate of fluid flow. A nurse is reinforcing teaching about mammograms which an adult client who is postmenopausal. Which of the following statements indicates to the nurse that the client understands the teaching? - "I should have a mammogram every 1 to 2 years." A nurse is collecting data from a client and osculates intermittent high-pitched sounds during inspiration over the lower base of the lungs. The nurse should identify this finding as which of the following lung sounds? - Fine crackles A nurse is assisting with the care of four clients. Which of the following clients is the priority for the nurse to see? - A client who has chest tubes and an oxygen saturation of 90% A nurse is preparing to perform a closed irrigation of an indwelling urinary catheter for a client who had abdominal surgery. Which of the following actions should the nurse plan to take? - Stop the irrigation if resistance is felt during fluid instillation. A nurse is reviewing the medical record of a client who has systemic lupus erythematous (SLE). Which of the following findings should the nurse expect? - Joint pain A nurse is preparing to transfer a client from a bed to a chair following a total knee arthroplasty. The client has a prescription for partial weight bearing. Which of the following actions should the nurse take? - Position feet apart before pivoting the client. A nurse is reviewing principles of body mechanics which a client following a lumbar laminectomy. Which of the following statements by the client indicates an understanding of the teaching? - "I will flex at the knees and use my leg muscles to lift an object off the floor." A nurse is caring for a client who is preoperative and does not speak the same language as the nurse. Which of the following actions should the nurse take? - Incorporate the use of pictures as a communication tool.