COMPLETED VATI Greenlight STUDY SET 2023-2024
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A50nurse50is50caring50for50a50client50who50is50at503350weeks50of50gestation50following
50an50amniocentesis.50The50nurse50should50monitor50the50client50for50which50of50the5
0following50complications?
A. Vomiting
B. Hypertension
C. Epigastric50pain
D. Contractions50-50ANSWER-D.50Contractions
A50nurse50is50providing50teaching50to50an50older50adult50client50about50methods50to50
promote50nighttime
sleep.50Which50of50the50following50instructions50should50the50nurse50include?
A. Stay50in50bed50at50least50150hr50if50unable50to50fall50asleep
B. Take50a50150hr50nap50during50the50day
C. Perform50exercises50prior50to50bedtime
D. Eat50a50light50snack50before50bedtime50-50ANSWER-
D.50Eat50a50light50snack50before50bedtime
A50nurse50on50a50telemetry50unit50is50caring50for50a50client50who50becomes50unconsc
ious50and50whose50monitor50displays50ventricular50tachycardia.50Which50of50the50fol
lowing50actions50should50the50nurse50take50first50after50determining50the50client50do
es50not50have50a50palpable50pulse?
A. Assess50heart50sounds
B. Defibrillate
C. Establish50IV50access
,D. Administer50epinephrine50-50ANSWER-B.50Defibrillate
,A50nurse50is50admitting50a50client50who50150week50postpartum50and50reports50exce
ssive50vaginal50bleeding.50The50nurse50does50not50speak50the50same50language50as50
the50client.50The50client's50partner50and5010-year-
old50child50are50accompanying50her.50Which50of50the50following50actions50should50t
he
nurse50take50to50gather50the50client's50admission50data?
A. Have50the50client's50child50translate
B. Allow50the50client's50partner50to50translate
C. Request50a50female50interpreter50through50the50facility
D. Ask50a50nursing50student50who50speaks50the50same50language50as50the50client50to5
0translate50-50ANSWER-C.50Request50a50female50interpreter50through50the50facility
A50nurse50is50caring50for50a50client50who50is50febrile.50To50reduce50the50client's50fever,
50the50nurse50applies50a50cooling50blanket.50Which50of50the50following50findings50indi
cates50the50client50is50having50an50adverse50reaction50to50the50cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering50-50ANSWER-d.50Shivering
A50nurse50is50caring50for50a50client50who50has50deep-vein-
thrombosis50of50the50left50lower50extremity.50Which50of50the50following50actions50sh
ould50the50nurse50take?50(Exhibit)
A. Position50the50client50with50the50affected50extremity50lower50than50the50heart
B. Withhold50heparin50IV50infusion50PTT-5030-4050seconds;50x250if50on50heparin
, C. Administer50acetaminophen
D. Massage50the50affected50extremity50every50450hr50-50ANSWER-
B.50Withhold50heparin50IV50infusion50PTT-5030-4050seconds;50x250if50on50heparin
A50nurse50is50reviewing50assessment50data50from50several50clients.50For50which50of50t
he50following50clients50should50the50nurse50recommend50referral50to50a50dietitian?
A. An50older50adult50client50who50has50a50BMI50of5024
B. A50client50who50has50a50nonhealing50leg50ulcer
C. An50older50adult50client50who50has50presbyopia
D. A50client50who50has50an50albumin50level50of503.750g/dL50(normal503.4-5.4)50-
50ANSWER-B.50A50client50who50has50a50nonhealing50leg50ulcer
8. A50nurse50is50providing50discharge50teaching50to50a50client50who50has50a50chroni
c50kidney50disease50and50is50receiving50hemodialysis.50Which50of50the50following50i
nstructions50should50the50nurse50include50in50the50teaching?
a. Eat50150g/kg50of50protein50per50day
b. Take50magnesium50hydroxide50for50indigestion
c. Drink50at50least50350L50of50fluid50daily-
Consume50foods50high50in50potassium-50restrict50-50ANSWER-
a.50Eat50150g/kg50of50protein50per50day
A50nurse50is50caring50for50a50client50who50is50receiving50intermittent50enteral50tube50f
eedings.
Which50of
the50following50places50the50client50at50risk50for50aspiration?