Vati remediation questions and answers RATED A+ 2023|2024 LATEST UPDATE

lOMoAR cPSD| 8661262 Vati remediation questions and answers RATED A+ 2023|2024 LATEST UPDATE Professional Nursing III lOMoAR cPSD| 8661262 A nurse cares for client who presents to the clinic for her first pre-natal visit. The client states her last menstrual period was June 20, 2019. What is the estimated date of delivery (EDD)? March 27, 2020 A nurse is providing client education regarding the advantages and disadvantages of intrauterine devices. What information should the nurse include? Advantages of an IUD are that an IUD can maintain effectiveness for 1-10 years; contraception can be reversed; safe for breastfeeding mothers; and is 99% effective in preventing pregnancy. Disadvantages of an IUD are that the IUD can increase the risk of PID, uterine perforation, or ectopic pregnancy; does not protect against STIs; and a client should report to the provider late or abnormal bleeding/spotting, abdominal pain, abnormal or foul-smelling vaginal discharge, fever, chills, change in string length, or if the IUD cannot be located. A nurse is caring for the family of a newborn. What are some interventions the nurse can use to facilitate sibling acceptance of the newborn? Let the sibling be one of the first to see the newborn, provide a gift to give to the sibling, arrange for one parent to spend time with the sibling while the other patient is taking care of newborn. A client asks the nurse what the difference is between a durable power of attorney for health care and a living will. What should the nurse teach the client to differentiate the two components of advanced directives? A living will is a legal document that expresses the client’s wishes regarding medical treatment in the event the client becomes incapacitated and is facing end-of-life issues. Most state laws include provisions that protect health care providers who follow a living will from liability. A durable power of attorney for health care is a document in which clients designate a health care proxy to make health care decisions for them if they are unable to do so. lOMoAR cPSD| 8661262 What actions should be taken by the nurse when a client decides to leave the facility against medical advice (AMA)? The nurse should have the patient sign an AMA form, she must then notify the provider and document the patient left against AMA in the chart. Describe the steps a nurse should take when preparing to administer a blood transfusion. Verify physician orders for blood products. Wash hands. If client does not have an IV, perform venipuncture with 18- or 20-gauge catheter. Assess client for allergies or previous reactions to blood. Verify that blood is ready in blood bank. Obtain blood from blood bank and obtain 500 mL bag of normal Saline. In the patient's room, verify with another registered nurse that the following information is correct: Client's name and identification number on blood bank slip match client's identification bracelet and 2 patient identifiers. Blood bank slip and unit of blood contained the same blood type, donor number, and expiration date. Don gloves. Close all clamps on Y-tubing. Insert one spike of Y-tubing into normal saline. Open clamps and prime normal saline arm of tubing, drip chamber with filter and arm of tubing which will spike into unit of blood. Prime rest of IV tubing. Clamp tubing. Gently rotate unit of blood before spiking. Open clamp on normal saline and infuse 50 mL slowly, close normal saline clamp. Open clamp on blood, and regulate at keep-open rate. Maintain rate for 15 minutes while staying with client. Obtain vital signs at end of first 15 minutes, and observe client for signs of transfusion reaction per institution protocol. Reset drip rate to a rate that will allow transfusion to be completed within 4 hours, If client has stable vital signs and no signs of transfusion reaction, continue to monitor vital signs hourly and client response to transfusion. Complete transfusion by flushing line with normal saline, clamping tubing, and disconnecting. Obtain set of vital signs at end of transfusion. Complete transfusion record and place in chart. Dispose of equipment per facility protocol. Complete documentation date, type, and identification number of product; time started and ended, and client response. A nurse is assigned to float to a unit she is uncomfortable with. What are acceptable strategies to remedy this situation? The nurse should bring the assignment to charge nurse’s attention. Negotiate assignments and tasks float nurse can most appropriately perform in accordance with experience. Follow chain of command if agreement is not achieved. lOMoAR cPSD| 8661262 A client will undergo an emergency thoracentesis to relieve a tension pneumothorax following a traumatic motor vehicle accident. List three (3) action that are imperative for the nurse to perform prior to the procedure. Ensure the client has signed the informed consent, obtain pre-procedure x- ray to locate pleural effusion and to determine needle insertion site, position the client sitting upright with arms and sho