VATI Med surg new With Complete Solution.
A nurse is collecting data from a client who has right-sided heart failure. Which of the
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following findings should the nurse expect? (Select all that apply.) - (correct answer) -
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Poripheral edema ui ui
Hepatomegaly ui
Abdominal distention ui
A nurse is caring for a client who has heart failure and a new prescription for furosemide.
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The nurse should monitor the client for which of the following adverse effects of the
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medication? - (correct answer) -Tinnitus
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The nurse should monitor clients who take furosemide for tinnitus and hearing loss.
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Audiometry is recommended for clients recelving prolonged IV furosemide.
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A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and
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is ready to resume eating solid foods. Which of the following food items should the
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nurse recommend? - (correct answer) -Yogurt
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The nurse should recommend adding yogurt to the diet to provide probiotics and add
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substance to the stool, making it more formed. A client who is recovering from diarrhea
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should consume a diet that is low in fiber. Taking probiotics can also help restore the
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natural gastrointestinal flora.
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A nurse is monitoring a client who has a new prescription for furosemide for peripheral
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edema. For which of the following adverse effects should the nurse monitor? - (correct
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answer) -Muscle weakness
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Furosemide is a loop diuretic, which is used to treat hypertension and edema.
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Furosemide can cause excess excretion of potassium. The nurse should monitor the
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client for manifestations of hypokalemia such as nausea, muscle weakness, and
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spasms.
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A nurse is contacting the provider of a client who has heart failure and a potassium level
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of 3.4 mEq/L. Which of the following client medications should the nurse expect the
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provider to withhold? - (correct answer) -Digoxin
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The nurse should expect the provider to withhold digoxin when the client's potassium
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level is low to decrease the client's risk of dysrhythrmias due to digoxin toxicity.
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Potassium assists in displacing digoxin, because digoxin binds to potassiurm, and
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reduces the risk for digoxin toxicity.
ui ui ui ui ui ui
A nurse is assisting with the care of a client who has cellulitis and is receiving IV
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ceftriaxone. During data collection, the nurse notes the client is flushed and the client
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reports urticaria. After stopping the IV infusion, which of the following actions should the
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nurse take first? - (correct answer) -Check the client's respirations.
ui ui ui ui ui ui ui ui ui ui ui
, After stopping the IV infusion, the first action the nurse should take when using the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
airway, breathing, circulation approach to client care is to count the client's respirations
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and monitor for dyspnea because a client experiencing an allergic reaction can progress
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to anaphylactic shock and death.
ui ui ui ui ui
A registered nurse (RN) in an acute care facility is caring for a group of clients with the
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assistance of a licensed practical nurse (LPN). Which of the following tasks should the
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RN delegate to the LPN? (Select all that apply.) - (correct answer) -Inserting an NG tube
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ui
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
Monitoring an IV infusion ui ui ui ui
Administering IM medications ui ui
A nurse is reinforcing teaching with a young adult client about testicular self-
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examination. Which of the following instructions should the nurse include? - (correct ui ui ui ui ui ui ui ui ui ui ui
answer) -"Examine your testicles after a warm shower."
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After exposure to warm water in a shower or bath, the scrotum relaxes and becomes
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easy to palpate. The testicle should feel smooth and round, and the client should report
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any lumps to his provider.
ui ui ui ui ui
A nurse is assisting in the planning of a health education class for a group of older adult
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clients. Which of the following recommendations should the nurse include? - (correct
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answer) -Obtain a pneumococcal immunization
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The pneumococcal immunization should be obtained to prevent pneumonia and is
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generally given at or near the age of 65, One dose provides lifelong immunity
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A nurse is preparing to administer eardrops to an adult client who has otitis media.
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Which of the following actions should the nurse plan to take? - (correct answer) -Warm
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the bottle by holding it in the palm for 5 min before administration.
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The nurse should plan to warm the bottle of drops slightly by holding it in the palm of the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
hand or putting the bottle in a pocket for about 5 min. Administering cold ear drops can
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
cause the client to experience discomfort or dizziness.
ui ui ui ui ui ui ui ui
A nurse is reinforcing teaching about the use of an oxygen concentrator in the home for
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
a client who has end-stage emphysema. Which of the following instructions should the
ui ui ui ui ui ui ui ui ui ui ui ui ui
nurse include to promote client safety? - (correct answer) -Maintain an electrical backup
ui ui ui ui ui ui ui ui ui ui ui ui ui
system.
ui ui
medical services and the electric company of the The nurse should remind the client to
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
maintain an electrical backup system to ensure continuity of oxygen therapy. This
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includes notifying local emergency use of home oxygen equipment. In the event of
ui ui ui ui ui ui ui ui ui ui ui ui ui
power loss, the client should notify 911, the provider, and the home health care agency.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
A nurse is caring for a client who is receiving continuous bladder irrigation following a
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transurethral resection of the prostate. The client has reduced urinary output, red urine,
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and reports bladder pain. Which of the following actions should the nurse take first? -
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(correct answer) -Increase the flow rate of the irrigation
ui ui ui ui ui ui ui ui ui ui
A nurse is collecting data from a client who has right-sided heart failure. Which of the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
following findings should the nurse expect? (Select all that apply.) - (correct answer) -
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
Poripheral edema ui ui
Hepatomegaly ui
Abdominal distention ui
A nurse is caring for a client who has heart failure and a new prescription for furosemide.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
The nurse should monitor the client for which of the following adverse effects of the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
medication? - (correct answer) -Tinnitus
ui ui ui ui ui ui
The nurse should monitor clients who take furosemide for tinnitus and hearing loss.
ui ui ui ui ui ui ui ui ui ui ui ui
Audiometry is recommended for clients recelving prolonged IV furosemide.
ui ui ui ui ui ui ui ui ui
A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
is ready to resume eating solid foods. Which of the following food items should the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
nurse recommend? - (correct answer) -Yogurt
ui ui ui ui ui ui ui
The nurse should recommend adding yogurt to the diet to provide probiotics and add
ui ui ui ui ui ui ui ui ui ui ui ui ui
substance to the stool, making it more formed. A client who is recovering from diarrhea
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
should consume a diet that is low in fiber. Taking probiotics can also help restore the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
natural gastrointestinal flora.
ui ui ui
A nurse is monitoring a client who has a new prescription for furosemide for peripheral
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
edema. For which of the following adverse effects should the nurse monitor? - (correct
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
answer) -Muscle weakness
ui ui ui ui
Furosemide is a loop diuretic, which is used to treat hypertension and edema.
ui ui ui ui ui ui ui ui ui ui ui ui
Furosemide can cause excess excretion of potassium. The nurse should monitor the
ui ui ui ui ui ui ui ui ui ui ui ui
client for manifestations of hypokalemia such as nausea, muscle weakness, and
ui ui ui ui ui ui ui ui ui ui ui
spasms.
ui
A nurse is contacting the provider of a client who has heart failure and a potassium level
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
of 3.4 mEq/L. Which of the following client medications should the nurse expect the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
provider to withhold? - (correct answer) -Digoxin
ui ui ui ui ui ui ui ui
The nurse should expect the provider to withhold digoxin when the client's potassium
ui ui ui ui ui ui ui ui ui ui ui ui
level is low to decrease the client's risk of dysrhythrmias due to digoxin toxicity.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
Potassium assists in displacing digoxin, because digoxin binds to potassiurm, and
ui ui ui ui ui ui ui ui ui ui ui
reduces the risk for digoxin toxicity.
ui ui ui ui ui ui
A nurse is assisting with the care of a client who has cellulitis and is receiving IV
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
ceftriaxone. During data collection, the nurse notes the client is flushed and the client
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
reports urticaria. After stopping the IV infusion, which of the following actions should the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
nurse take first? - (correct answer) -Check the client's respirations.
ui ui ui ui ui ui ui ui ui ui ui
, After stopping the IV infusion, the first action the nurse should take when using the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
airway, breathing, circulation approach to client care is to count the client's respirations
ui ui ui ui ui ui ui ui ui ui ui ui ui
and monitor for dyspnea because a client experiencing an allergic reaction can progress
ui ui ui ui ui ui ui ui ui ui ui ui ui
to anaphylactic shock and death.
ui ui ui ui ui
A registered nurse (RN) in an acute care facility is caring for a group of clients with the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
assistance of a licensed practical nurse (LPN). Which of the following tasks should the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
RN delegate to the LPN? (Select all that apply.) - (correct answer) -Inserting an NG tube
ui
ui
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
Monitoring an IV infusion ui ui ui ui
Administering IM medications ui ui
A nurse is reinforcing teaching with a young adult client about testicular self-
ui ui ui ui ui ui ui ui ui ui ui ui
examination. Which of the following instructions should the nurse include? - (correct ui ui ui ui ui ui ui ui ui ui ui
answer) -"Examine your testicles after a warm shower."
ui ui ui ui ui ui ui ui ui
After exposure to warm water in a shower or bath, the scrotum relaxes and becomes
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
easy to palpate. The testicle should feel smooth and round, and the client should report
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
any lumps to his provider.
ui ui ui ui ui
A nurse is assisting in the planning of a health education class for a group of older adult
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
clients. Which of the following recommendations should the nurse include? - (correct
ui ui ui ui ui ui ui ui ui ui ui ui
answer) -Obtain a pneumococcal immunization
ui ui ui ui ui ui
The pneumococcal immunization should be obtained to prevent pneumonia and is
ui ui ui ui ui ui ui ui ui ui
generally given at or near the age of 65, One dose provides lifelong immunity
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
A nurse is preparing to administer eardrops to an adult client who has otitis media.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
Which of the following actions should the nurse plan to take? - (correct answer) -Warm
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
the bottle by holding it in the palm for 5 min before administration.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
The nurse should plan to warm the bottle of drops slightly by holding it in the palm of the
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
hand or putting the bottle in a pocket for about 5 min. Administering cold ear drops can
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
cause the client to experience discomfort or dizziness.
ui ui ui ui ui ui ui ui
A nurse is reinforcing teaching about the use of an oxygen concentrator in the home for
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
a client who has end-stage emphysema. Which of the following instructions should the
ui ui ui ui ui ui ui ui ui ui ui ui ui
nurse include to promote client safety? - (correct answer) -Maintain an electrical backup
ui ui ui ui ui ui ui ui ui ui ui ui ui
system.
ui ui
medical services and the electric company of the The nurse should remind the client to
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
maintain an electrical backup system to ensure continuity of oxygen therapy. This
ui ui ui ui ui ui ui ui ui ui ui ui
includes notifying local emergency use of home oxygen equipment. In the event of
ui ui ui ui ui ui ui ui ui ui ui ui ui
power loss, the client should notify 911, the provider, and the home health care agency.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
A nurse is caring for a client who is receiving continuous bladder irrigation following a
ui ui ui ui ui ui ui ui ui ui ui ui ui ui
transurethral resection of the prostate. The client has reduced urinary output, red urine,
ui ui ui ui ui ui ui ui ui ui ui ui ui
and reports bladder pain. Which of the following actions should the nurse take first? -
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui
(correct answer) -Increase the flow rate of the irrigation
ui ui ui ui ui ui ui ui ui ui
