PN VATI Management 2020 Completed Exam Questions & Answers with Rationales (Verified Answers By Expert) 2024/2025 Update

A nurse is caring for a client who has a facial injury. The client tells the nurse that the injury was a result of partner violence. After treating the client's physical injury. Which of the following actions should the nurse take next? Provide coping strategies. Refer the client for counselling services. Assist the client to develop a safety plan. Take photos of the client's injuries. Answer: Take photos of the client's injuries. Rationale: The first action the nurse should take using the nursing process is to collect data from the client by documenting and taking photos of the client's injuries. Accurate documentation of the client's injuries in the medical record can provide valuable evidence in the event future legal action is taken against the perpetrator. A nurse is caring for a client who has pancreatic cancer. The client tells the nurse that they do not want the chemotherapy the provider recommended. Which of the following responses should the nurse make? "You should discuss your treatment with your loved ones before making a decision." "You have the right to refuse chemotherapy, but you should understand the risks." "The side effects of chemotherapy are not as bad as they used to be and can be managed." "Your health will continue to decline if you don't receive chemotherapy." Answer: "You have the right to refuse chemotherapy, but you should understand the risks." Rationale: The nurse should recognize the client's right to refuse treatment and notify the provider to discuss the risks of refusing treatment with the client. A nurse is discussing advantages of using the nursing clinical information system (NCIS) with a newly licensed nurse. Which of the following advantages should the nurse include? Select all that apply. Eliminates potential legal risk Gives an overview of the cost of treatment Reduces errors of omission Enhances ability to track medical records Provides immediate access to members of the interprofessional team Correct Answers: Reduces errors of omission. An advantage of computerized documentation is a reduction in errors of omission. Data, such as prior shift assessment information, can be copied, allowing a nurse to quickly document updates without potentially forgetting to document other information. Enhances ability to track medical records. Computerized documentation enhances the ability to track the client's medical records. Records are easily organized and stored and can be retrieved quickly when a client is readmitted from a previous encounter. Provides immediate access to members of the interprofessional team. Computerized documentation provides immediate access to members of the interprofessional team. Important information, such as allergies and current medications, can be retrieved by health care team members in other departments prior to providing care to a client. A nurse is caring for a client who is 2 days postoperative following a bowel resection. Which of the following information should the nurse communicate to the next nurse caring for this client? Family visits Preoperative laboratory values A new prescription for PO analgesics The procedure for incentive spirometer use Answer: A new prescription for PO analgesics. Rationale: When giving change-of-shift report, the nurse should include any changes in the treatment plan, such as switching the client from parenteral to oral pain medication.