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Exam (elaborations)

RN VATI Comprehensive Predictor Form B Exam, Questions and Answers (verified answers) With Rationales, 100% Guaranteed Pass ||Complete A+ Guide

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RN VATI Comprehensive Predictor Form B Exam, Questions and Answers (verified answers) With Rationales, 100% Guaranteed Pass ||Complete A+ Guide

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Rn Vati Comprehensive Predictor
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Uploaded on
December 3, 2024
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Written in
2024/2025
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RN VATI Comprehensive Predictor Form B Exam, Questions

and Answers (verified answers) With Rationales, 100%

Guaranteed Pass ||Complete A+ Guide




1. A nurse is caring for a 5-year-old child
m m m m m m m




Physical Examination: m




1510:
Upon visual inspection, throat is inflamed, tonsils appear pink,
m m m m m m m m




reddened andepiglottis is edematous and cherry red in appearance.
m m m m m m m m m m




Skin appears pale.
m m m




Stridor noted upon inspiration with diminished bilateral lung sounds
m m m m m m m m




Nurse's Notes: m




1500
Child accompanied to emergency department by caregiver.
m m m m m m




1 m/
m79

,Caregiver stateschild has a sore throat and reports the child has
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m "pain on swallowing" and denies cough. Child is agitated and lean
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…Ans>> Condition: Epiglottis m m




Actions: Initiate droplet precautions and request a prescription for IV antibiotics
m m m m m m m m m m




Monitors: Breath sounds and temperature
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The nurse should anticipate initiating droplet precautions and requesting a
m m m m m m m m m




prescription for IV antibiotics. The child is most likely experiencing epiglottis
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because of the clinical manifestations of a high fever, inflammation and
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redness of the throat, pale skin, stridor with inspiration, painful swallowing, no
m m m m m m m m m m m m




cough, is sitting in tripod position, and drooling. The nurse should monitor the
m m m m m m m m m m m m m




child's temperature and breath sounds.
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2. A nurse is caring for a client who is on the spinal cord injury (SCI)
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unit
m




Nurses'
NotesDay 3,
m m m




1700
m




Client admitted to SCI unit 3 days ago following C7 injury. Skin is
m m m m m m m m m m m m




m cool, pale, and dry to touch. Respirations easy and unlabored. Lung
m m m m m m m m m m




m sounds diminishedin lower lobes. Abdomen soft and nondistended
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m with active bowel sounds.
m m m




2 m/
m79

,Client passed a small amount of hard formed stool this AM. Indwelling
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urinarycatheter draining clear yellow urine. Deep tendon reflexes (DTR
m m m m m m m m m m




are biceps 1+,triceps 1+, pa
m m m m m m




…Ans>> The client is most likely experiencing manifestations of pneumonia
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and autonomic dysreflexia.
m m m




The nurse should analyze cues from the client's manifestations and determine
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thatthe client is most likely experiencing manifestations of pneumonia and
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autonomic dysreflexia. A client who has a cervical SCI is at risk for
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respiratory complications because spinal innervation to the respiratory
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muscles is disrupted. Adventitious breath sounds in the lower lobes bilaterally
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and a decrease in oxygen saturation
m m m m m m




to less than 92% can indicate pneumonia. The client's sudden increase in bloo
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3 m/
m79

, pressure, bradycardia, flushing of the skin above the area of the injury,
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m headache,and blurred vision are manifestations of autonomic dysreflexia,
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m which can be a life-threatening condition.
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3. A nurse is caring for a client who has abdominal pain
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Nurses'
m Notes0900 m




Client reports loss of appetite, weight loss, and fatigue for 1 week.
m m m m m m m m m m m




m Reports abdominal pain, 6 on a scale from 0 to 10, for 2 days. Client
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m is a perioperativenurse, returned 1 week ago from a 2-week mission
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m trip to an underdevelopedcountry
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1200
Results of antibody studies obtained. Provider prescription for
m m m m m m m




m antiviral med-ication pending. m m m




Physical
m Examination0930 m




Lung sounds clear bilaterally. Skin warm to touch and jau
m m m m m m m m m




…Ans>> Hepatitis A: Client's risk from fecal-oral transmission, laboratory
m m m m m m m m m




m results, and physical examination find-ings
m m m m m




4 m/
m79

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