MEDSURG VATI ASSESSMENT 90 Q'S Latest 2024 Already Solved

A nurse is assisting with the care of four clients. Which of the following clients is the priority for the nurse to see -A client who has chest tubes and an oxygen Sat of 90% - aclient who has peripheral edema and urinary output of 130 over 4hrs - A client who has a permanent pacemaker with heart rate of 76/min -a client who has pericarditis and temp. 38 c 100.4 -Ans- A client who has chest tubes and an oxygen Sat of 90% A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3. Which of the following findings should the nurse expect? - Vacalizes sound -Blinks eyes when asked -Follows motor commands -Nonresponsive Commands -AnsNonresponsive Commands A nurse is monitoring a client who has a pneumothorax and a chest tube in place with a closed chest drainage system connected to low suction. For which of the following findings should the nurse notify the charge nurse - Fluctation of the water level in the water seal chamber -constant bubling in the suction control chamber - periodic bubbling in the water seal chamber - Persistent bubbling in the water seal chamber -Ans- Persistent bubbling in the water seal chamber A nurse is reinforcing teaching with a male client who has right sided hemiparesis about preforming ADL's. Which of the following instructions should the nurse include in the teaching -Comb your hair with the unaffected arm -Dress your unaffected side first choose clothing with buttons -shave with your affected side -AnsComb your hair with the unaffected arm