RN VATI Fundamentals Assessment
Study online at https://quizlet.com/_e4mxbd
1. A nurse is preparing 1: Draw up the volume of insulin from the intermediate-acting insulin vial.
to mix short-acting
and intermediate-act- 2: Inject the volume of air equal to the amount of insulin to withdraw from
ing insulin in one sy- the intermediate-acting insulin vial.
ringe to administer to
3: Inject the volume of air equal to the insulin dose form the short-acting
a client who has type
insulin vial
1 diabetes mellitus.
Identify the sequence
4: Withdraw the prescribed amount of insulin form the short-acting insulin
the nurse should fol-
vial.
low.
5: Withdraw the prescribed amount of insulin form the intermediate-acting
insulin vial.
To mix insulin from two vials in the same syringe, the nurse should first
draw up a volume of air equal to the volume of insulin from the inter-
mediate-acting insulin vial. The nurse should then inject the volume of air
equal to the amount of insulin to withdraw from the intermediate-acting
insulin vial, making sure the needle does not touch the insulin. Next, the
nurse should inject the volume of air equal to the insulin dose from the
short-acting insulin vial. Then, the nurse should withdraw the prescribed
amount of insulin from the short-acting insulin vial. Lastly, the nurse should
withdraw the prescribed amount of insulin from the intermediate-acting
insulin vial. The insulins are now mixed and ready to administer.
2. A nurse is assessing Advise the client to rinse their mouth and dentures after each meal.**
a client who wears
partial dentures and The nurse should advise the client to rinse their mouth and dentures after
reports mouth pain. each meal to remove food and particles and to promote healing of gums
Which of the follow- and oral mucosa.
ing actions should the
The nurse should instruct the client to rinse their mouth four times each day
nurse take?
with mild rinses, such as normal saline or sodium bicarbonate solution. The
, RN VATI Fundamentals Assessment
Study online at https://quizlet.com/_e4mxbd
Provide the client nurse should inform the client that mouthwashes containing alcohol dry the
with an alcohol-based oral mucosa and can irritate tissue.
mouthwash.
The nurse should instruct the client to brush their remaining teeth with a
Instruct the client to soft toothbrush at least twice each day to reduce the risk for gum abrasions.
brush their remain-
ing teeth with a firm The nurse should avoid using lemon-glycerin sponges because they can
toothbrush. cause erosion of the client's tooth enamel, dry the mucous membranes, and
increase the client's current discomfort.
Advise the client to
rinse their mouth and
dentures after each
meal.
Swab the
client's mouth
with lemon-glycerin
sponges at bedtime.
3. A nurse is planning Speech-language pathologist
care for a client who The nurse should recommend a referral for a client who has dysphagia to
has dysphagia and is a speech-language pathologist. Clients who have dysphagia have difficulty
at risk for aspiration. swallowing and are at risk for aspiration. The speech-language pathologist
Which of the follow- can perform a swallow study to determine the extent of the client's dyspha-
ing referrals should gia and work with the client to develop new swallowing techniques.
the nurse make?
4. A nurse is plan- - Establish the client's learning needs**
ning teaching for a
client who has a - Determine the client's literacy level**
new diagnosis of type
- Evaluate the client's readiness for learning**
2 diabetes mellitus.
Which of the follow-
, RN VATI Fundamentals Assessment
Study online at https://quizlet.com/_e4mxbd
ing actions should the - Identify the client's learning style**
nurse take prior to
performing the teach- Establish the client's learning needs is correct. Prior to planning any teach-
ing? (select all that ap- ing session, the nurse should perform a comprehensive assessment of the
ply) client's learning needs. This assessment incorporates information from the
client's history and physical assessment, current health problems, under-
standing of and adherence to the prescribed treatment plan, and support
system. Determine the client's literacy level is correct. Knowing the client's
literacy level is an important factor in communicating with the client and
in delivering audiovisual presentations and written materials. If the client
cannot understand the information the nurse presents, they will not learn.
Evaluate the client's readiness for learning is correct. The nurse should de-
termine the client's physical readiness (pain control), emotional readiness
(acceptance of diagnosis), and cognitive readiness (appropriate level of
consciousness). Identify the client's learning style is correct. The best way
to learn varies from client to client. Some people learn best by watching a
demonstration, while others thrive in a group setting, and others prefer to
read information on their own. In a group setting, the nurse should use a
variety of styles to accommodate most learners.
5. A nurse is preparing Previous treatments**
to notify the provider
about a change in a The nurse should include previous treatments in the "background" portion
client's status. Which of the SBAR communication tool. Other information the nurse should in-
of the following in- clude in the "background" portion is the client's admission history, diag-
formation should the nosis, pertinent medical history, and code status. The nurse should include
nurse plan to include physical findings in the "assessment" portion of the SBAR communication
in the "background" tool. The nurse should include questions regarding client care in the "rec-
portion of the SBAR ommendation" portion of the SBAR communication tool. The nurse should
communication tool? include the client's present condition in the "situation" portion of the SBAR
communication tool.
Client's present condi-
Study online at https://quizlet.com/_e4mxbd
1. A nurse is preparing 1: Draw up the volume of insulin from the intermediate-acting insulin vial.
to mix short-acting
and intermediate-act- 2: Inject the volume of air equal to the amount of insulin to withdraw from
ing insulin in one sy- the intermediate-acting insulin vial.
ringe to administer to
3: Inject the volume of air equal to the insulin dose form the short-acting
a client who has type
insulin vial
1 diabetes mellitus.
Identify the sequence
4: Withdraw the prescribed amount of insulin form the short-acting insulin
the nurse should fol-
vial.
low.
5: Withdraw the prescribed amount of insulin form the intermediate-acting
insulin vial.
To mix insulin from two vials in the same syringe, the nurse should first
draw up a volume of air equal to the volume of insulin from the inter-
mediate-acting insulin vial. The nurse should then inject the volume of air
equal to the amount of insulin to withdraw from the intermediate-acting
insulin vial, making sure the needle does not touch the insulin. Next, the
nurse should inject the volume of air equal to the insulin dose from the
short-acting insulin vial. Then, the nurse should withdraw the prescribed
amount of insulin from the short-acting insulin vial. Lastly, the nurse should
withdraw the prescribed amount of insulin from the intermediate-acting
insulin vial. The insulins are now mixed and ready to administer.
2. A nurse is assessing Advise the client to rinse their mouth and dentures after each meal.**
a client who wears
partial dentures and The nurse should advise the client to rinse their mouth and dentures after
reports mouth pain. each meal to remove food and particles and to promote healing of gums
Which of the follow- and oral mucosa.
ing actions should the
The nurse should instruct the client to rinse their mouth four times each day
nurse take?
with mild rinses, such as normal saline or sodium bicarbonate solution. The
, RN VATI Fundamentals Assessment
Study online at https://quizlet.com/_e4mxbd
Provide the client nurse should inform the client that mouthwashes containing alcohol dry the
with an alcohol-based oral mucosa and can irritate tissue.
mouthwash.
The nurse should instruct the client to brush their remaining teeth with a
Instruct the client to soft toothbrush at least twice each day to reduce the risk for gum abrasions.
brush their remain-
ing teeth with a firm The nurse should avoid using lemon-glycerin sponges because they can
toothbrush. cause erosion of the client's tooth enamel, dry the mucous membranes, and
increase the client's current discomfort.
Advise the client to
rinse their mouth and
dentures after each
meal.
Swab the
client's mouth
with lemon-glycerin
sponges at bedtime.
3. A nurse is planning Speech-language pathologist
care for a client who The nurse should recommend a referral for a client who has dysphagia to
has dysphagia and is a speech-language pathologist. Clients who have dysphagia have difficulty
at risk for aspiration. swallowing and are at risk for aspiration. The speech-language pathologist
Which of the follow- can perform a swallow study to determine the extent of the client's dyspha-
ing referrals should gia and work with the client to develop new swallowing techniques.
the nurse make?
4. A nurse is plan- - Establish the client's learning needs**
ning teaching for a
client who has a - Determine the client's literacy level**
new diagnosis of type
- Evaluate the client's readiness for learning**
2 diabetes mellitus.
Which of the follow-
, RN VATI Fundamentals Assessment
Study online at https://quizlet.com/_e4mxbd
ing actions should the - Identify the client's learning style**
nurse take prior to
performing the teach- Establish the client's learning needs is correct. Prior to planning any teach-
ing? (select all that ap- ing session, the nurse should perform a comprehensive assessment of the
ply) client's learning needs. This assessment incorporates information from the
client's history and physical assessment, current health problems, under-
standing of and adherence to the prescribed treatment plan, and support
system. Determine the client's literacy level is correct. Knowing the client's
literacy level is an important factor in communicating with the client and
in delivering audiovisual presentations and written materials. If the client
cannot understand the information the nurse presents, they will not learn.
Evaluate the client's readiness for learning is correct. The nurse should de-
termine the client's physical readiness (pain control), emotional readiness
(acceptance of diagnosis), and cognitive readiness (appropriate level of
consciousness). Identify the client's learning style is correct. The best way
to learn varies from client to client. Some people learn best by watching a
demonstration, while others thrive in a group setting, and others prefer to
read information on their own. In a group setting, the nurse should use a
variety of styles to accommodate most learners.
5. A nurse is preparing Previous treatments**
to notify the provider
about a change in a The nurse should include previous treatments in the "background" portion
client's status. Which of the SBAR communication tool. Other information the nurse should in-
of the following in- clude in the "background" portion is the client's admission history, diag-
formation should the nosis, pertinent medical history, and code status. The nurse should include
nurse plan to include physical findings in the "assessment" portion of the SBAR communication
in the "background" tool. The nurse should include questions regarding client care in the "rec-
portion of the SBAR ommendation" portion of the SBAR communication tool. The nurse should
communication tool? include the client's present condition in the "situation" portion of the SBAR
communication tool.
Client's present condi-
