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1. A nurse is caring for a client who has global
B. Request a consult with
aphasia following a cerebrovascular accident
the speech-language
(CVA). Which of the following actions should
patholo- gist.
the nurse incorporate into the client's care?
A. Provide the client with two-step tasks The speech-language
B. Request a consult with the speech- pathologist can recom-
language pathologist. mend specific
C. Ask questions the client can answer with a communica- tion
simple "yes" or "no." strategies for a client who
D. Use a raised voice when speaking to the has global aphasia. By
client. identifying this need, the
nurse is advocating for
the client.
2. A client who is newly diagnosed with cancer has been C. "Tell me
more about what
prescribed oral chemotherapy. The client is making you feel
tells the nurse, "I'm not sure if I want to take unsure about taking
this medicine." Which of the following this medica- tion."
responses should the nurse make?
This is an open-ended
A. "I think you should seriously consider the state- ment that allows
conse- quences of not going through with the client to express their
treatment." concerns about
B. "You do not have to take any medications that you the treatment
plan.
don't want to."
C. "Tell me more about what is making you feel
un- sure about taking this medication."
D. "Are you nervous about the side
effects of chemotherapy?"
3. A nurse is caring for a client who has multiple sclero- D.
, VATI Med-Surg Post-Assessment Study Test.
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Occupational therapist
sis and is unable to maintain a grip on eating utensils.
Which of the following referrals should the Occupational therapists
nurse make? as- sist with developing a
client's
, VATI Med-Surg Post-Assessment Study Test.
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fine motor skills used for
A. Speech-language pathologist
ac- tivities of daily living,
B. Physical therapist
such as eating,
C. Registered dietitian
grooming, and hy-
D. Occupational therapist
giene.
4. A nurse is reviewing the medical record of
a client who has a prescription for A. History of thyroid
liraglutide. Which of the cancer
following findings should the nurse identify as a con- The nurse
should identify
traindication to this a personal or family
medication? his- tory of thyroid
cancer as a
A. History of thyroid cancer
contraindication to
B. Concurrent use of
tak-
metformin
C. Blood glucose 200 mg/dL ing liraglutide and notify
D. Albumin 3.8 g/dL the provider. Other
contraindica- tions to
receiving this med-
ication can include type
1 diabetes mellitus,
diabetic ketoacidosis,
and a history of suicidal
thoughts or at- tempts.
5. A nurse is monitoring a client who has a prescription D. Myalgia
for ciprofloxacin 400 mg IV every 12 hr. Which of the
following manifestations should the nurse identify as The nurse
should identify
an adverse effect of this A. Constipation
medication? B. Anorexia
C. Fever
, VATI Med-Surg Post-Assessment Study Test.
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D. Myalgia that myalgia is an
adverse ettect of
ciprofloxacin and can be
an indication that the
client might be
experiencing tendonitis,
which could lead to
tendon rupture. Other
adverse ettects can
include dizziness,
agitation, and con-
fusion.