VATI Comprehensive Predictor Review

VATI Comprehensive Predictor Review 1. A nurse is caring for a client who is taking alprazolam. Which of the following prescriptions should the nurse clarify with the provider? ceftriaxone 2. A nurse is assessing a client who is postoperative following abdominal surgery. The client states "I feel like my incision ripped open" the nurse notes dehiscence of the incision. which of the following actions should the nurse take? place the client in a low-fowlers position 3. A nurse is caring for a client who is receiving radiation therapy through a sealed implant. Which of the following actions should the nurse take? wear a lead apron when providing care for the client. 4. A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the following actions should the nurse take? apply the tourniquet 15 cm above the insertion site 5. A nurse is administering medications to a client who has dysphagia and a new prescription for divalproex sodium extended release tablets. which of the following actions should the nurse take? administer the medication with applesauce 6. A nurse is completing a dietary assessment for a client who is jewish and observes kosher dietary practices. which of the following behaviors would the nurse expect to fine? meat and dairy products are eaten separately 7. A nurse is assessing a client who has minor injuries following a motor-vehicle crash and appears agitated and apprehensive. The nurse identifies that the client is in the arm stage of general adaptation syndrome and should expect which of the following findings. tachycardia 8. A nurse is caring for a client who has a femur fracture and is on bedrest with bucks extension traction. which of the following actions should the nurse take? inspect the clients skin under the device every 8 hours 9. A charge nurse is creating assignments for the next shift for several nurses and one of them is pregnant. which of the following clients should the charge nurse assign to a nurse who is not pregnant? 60 year old client who is recovering from shingles 10. A nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? the client is lying in a supine position 11. A nurse is teaching a client about smoking cessation. Which of the following client statements should the nurse identify as an understanding of the teaching? I will set a specific date to stop smoking 12. A nurse has been caring for a female client who has bruises on her arms that are a result of physical abuse by her partner. The client states "I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave" Which of the following is an appropriate nursing intervention? help the client to recognize the signs of escalation of abusive behavior 13. A client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune globulin. The client is gravid 2, para 2, and her blood type is AB negative. The newborn's blood type is B Positive. which of the following statements is appropriate? you should receive Rh immune globulin within 72 hours of delivery 14. A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemotherapy. the clients sibling comes to visit but has obvious manifestations of an upper respiratory infection. which of the following nursing actions is appropriate at this time? allow the sibling to visit after donning a sterile gown, mask, gloves, but prohibit physical contact 15. A nurse is planning care for a client who takes haloperidol for the treatment of schizophrenia. which of the following should the nurse include in the plan of care? screen the client for tardive dyskinesia 16. A nurse is performing a vision screening for a client. which of the following findings should the nurse identify as an indication that the client has cataracts? increased opacity of the lens of the eye 17. A nurse is caring for a client who reports difficulty falling asleep at night. which of the following actions should the nurse take? schedule routine care tasks during the hours when the client is awake 18. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. which of the following should the nurse recommend the client increases in their diet during lactation? calcium