VATI FUNDAMENTALS EXAMS 2023/2024|100% CORRECT ANSWERS|VERIFIED|LATEST 2024 VERSION

A nurse is preparing to administer diazepam 2 mg twice daily via NG tube. Available is diazepam oral solution 5 mg/1 mL. How many mL should the nurse administer with each dose? (Use a leading zero if itapplies. Do not use a trailing zero. Round the answer to the nearest tenth.) 0.4 A nurse in a long-term care facility is planning to use therapeutic touch for a group of selected clients who have chronic pain. The nurse should identify that the use of therapeutic touch is contraindicated for which ofthe following clients? A client who has chronic back pain and a history of being physically abused Therapeutic touch consists of using the nurse's hands to harmonize energy fields and to facilitate relief of painor anxiety, such as for a client who has chronic back pain. The nurse can touch the client with their palms or move the palms near, but not touching the client's body. Prior physical maltreatment and some mental health disorders are contraindications for therapeutic touch, because touch or near touch could cause severe anxiety. A nurse in a rehabilitation unit is assessing a group of clients who have traumatic brain injuries. The nurseshould identify that which of the following clients requires a priority referral? A client who coughs after drinking liquids The greatest risk to this client is injury from aspiration. Therefore, this is the client the nurse should address first. The priority referral the nurse should make is to a speechlanguage pathologist because a client who coughs after drinking liquids is at risk for aspiration. Manifestations of dysphagia include changes in voice tone,coughing, delayed swallowing, pocketing of food, and occasional silent aspiration, which can occur if a client isexperiencing a decrease in sensation. A nurse is assisting a client to move up in bed. Which of the following actions should the nurse take? Raise the height of the bed to the level of the nurse's elbows. A nurse is caring for a client who is at risk for pressure ulcer formation due to immobility. The nurse shouldplace the client in which of the following positions to reduce pressure on the client's bony prominences? 30° lateral The 30° lateral position, along with positioning devices, can prevent pressure directly over the client's most vulnerable bony prominences. This position can, however, cause pressure on the shoulder, ankle, anterior iliacspine, and trochanter. Therefore, the nurse should ensure the client's head is midline and supported, rotation ofthe spine is avoided, and position changes are implemented every 1 to 2 hr A nurse is preparing to administer vancomycin 500 mg by intermittent IV infusion every 6 hr. Available is vancomycin 500 mg in 0.9% sodium chloride 100 mL to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.) 50 A nurse is admitting a client who is to undergo a surgical procedure. Under the Patient Self-DeterminationAct (PSDA), which of the following actions is the nurse's responsibility regarding the client's advance directives? Ask the client whether he has created advance directives. A nurse is assessing a client who has hypokalemia. Which of the following manifestations should the nurseexpect? Decreased bowel sounds Decreased bowel sounds are an indication of hypokalemia because of decreased excitability of cells, resultingin less responsiveness to normal stimuli in nerves and muscles.