VATI RN COMPREHENSIVE PREDICTOR
FOCUSED REVIEW | COMPLETE GUIDE
ComprehensivehgPracticehgA
**Ahgclienthgishgpostoperativehgfollowinghgahglumbarhgdiscectomyhgandhgishghavinghgdifficultyhg
voiding.hgThehgnursehgshouldhgrecognizehgthathgwhichhgofhgthehgfollowinghgmedicationshgplacehgt
hehgclienthgathgriskhgforhgurinaryhgretention?
Ketorolach g Hydromorpho
nehg(Dilaudid)hgBethanechol
hg(Urecholine)hgTobramyci
nhg(Nebcin)
**Ahgnursehgishgcaringhgforhganhgolderhgadulthgclienthginhgahglong-
termhgcarehgfacilityhgwhohgishgdisorientedhgandhgcontinueshgtohggethgouthgofhgbedhgwithouthgassist
ance.hgWhichhgofhgthehgfollowinghgimageshgindicateshgthehgnursehgishgusinghganhgappropriatehginter
ventionhgtohgminimizehgthehgriskhgofhginjuryhgduehgtohgahgfall?
D
**Ahgpracticalhgnursehg(PN)hgonhgmedical-
surgicalhgunithgishgbeginninghgherhgshifthgandhgishgworkinghgwithhgahgregisteredhgnursehg(RN)hgan
dhganhgassistivehgpersonnelhg(AP).hgThehgPNhgshouldhgexpecthgtohgbehgassignedhgwhichhgofhgthe
hgfollowinghgtasks?
Teachhgahgclienthgwhohghashgahgnewhgdiagnosishgofhgdiabeteshgmellitushghowhgtohgself-
administerhginsulin.hgCreatehgahgplanhgofhgcarehgforhgahgnewlyhgadmittedhgclient.
Obtainhgahgstoolhgspecimenhgfromhgahgclienthgwhohghashgulcerativehgcolitis----
AdministerhganhgNGhgtubehgfeedinghgtohgahgclienthgwhohghadhgahgstroke
**Ahgnursehgonhganhgacutehgmentalhghealthhgunithgobserveshgahgclienthgwhohgbeginshgtohgspeakhgl
oudlyhginhgthehgcommonhgroom,hgsayinghgthathghehgcan’thghearhgthehgTV.hgWhichhgofhgthehgfollo
winghgishganhgappropriatehgresponsehgbyhgthehgnurse?
Youhgwillhgneedhgtohggohgtohgyourhgroomhguntilhgyouhgcanhgcalm
,hgdownhgokayhgThehgTVhgishgloudhgenoughhgforhgeveryonehgtohgh
earhgit
Youhgarehgbeinghginconsiderate.hgPleasehgstophgtalkinghgsoh
gloudlyhgLet’shggohgtohganotherhgroomhgtohgtalkhgabouthgwha
thgishgupsettinghgyou
**Ahgclienthgtellshgahgnursehgthathghehgwouldhglikehgtohgobservehgkosherhgdietaryhglaws.hgTh
ehgnursehgshouldhgrecognizehgwhichhgofhgthehgfollowing?
,Ahgvegetarianhgdiethgishgthehgpreferredhgdiet
Dairyhgproductshgarehgservedhgseparatelyhgfromhgmeat
Fastinghgduringhgdaylighthgishgrequiredhgduringhgahgmonth-
longhgholidayhgFishhgwithhgscaleshgandhgfinshgshouldhgnothgbehgea
ten
**Ahgnursinghgunithgreceiveshgnewhgglucosehgmonitoringhgequipmenthgfromhgstaffhgdevelopmenthg
withhgthehgpromisehgthathgin-
servicehgeducationhgwillhgbehggivenhgsoon.hgWhichhgofhgthehgfollowinghginstructionshgshouldhgthehg
nursehggivehgtohgthehgassistivehgpersonnelhg(AP)hgwhohgishgpreforminghgglucosehgmonitoringhgonhgt
hehgunit?
Contacthgthehgstaffhgdevelopmenthgdepartmenthgforhginstr
uctionhgContinuehgusinghgthehgcurrenthgglucosehgmonitors
Checkhgforhgaccuracyhgandhgproperhgfunctioninghgofhgthehgnewhgmonitor
Readhgthehginstructionhgmanualhgbeforehgattemptinghgtohgusehgthehgnewhgmonitor
**WhichhgofhgthehgfollowinghgshouldhgthehgnursehgdocumenthgashganhgindicationhgofhgthehgIVhginfil
trationhginhgahgclient’shgforearm?
Rednesshgalonghgvein
TissuehgsloughinghgathgthehgsitehgF
orearmhgthathgishgwarmhgtohgthehgto
uchhgPallorhgsurroundinghgthehginfu
sionhgsite
**Ahgclienthgrequestshginformationhgabouthgadvancedhgdirectives.hgWhichhgofhgthehgfollo
winghgishgthehgappropriatehgresponsehgbyhgthehgnurse?
Advancedhgdirectiveshgarehgwrittenhginstructionshgregardinghgendhgofh
glifehgcarehgAdvancedhgdirectiveshgprovidehgeducationhgonhgpalliativehg
carehgissues
Advancedhgdirectiveshgrequirehgthehgprovider’shgapprovalhgbeforehgchangeshgcanhgbehgimplemen
tedhgAdvancedhgdirectiveshghelphgdeterminehglegalhgcompetency
**Ahgnursehgishgcaringhgforhgahgclienthgwhohgishgonhgtelemetry.hgWhichhgofhgthehgfollowinghgECGhg
, findingshgshouldhgthehgnursehgreporthgtohgthehgchargehgnurse?
OnehgPhgwavehgpriorhgtohgeachhgQRShgcomplex
FOCUSED REVIEW | COMPLETE GUIDE
ComprehensivehgPracticehgA
**Ahgclienthgishgpostoperativehgfollowinghgahglumbarhgdiscectomyhgandhgishghavinghgdifficultyhg
voiding.hgThehgnursehgshouldhgrecognizehgthathgwhichhgofhgthehgfollowinghgmedicationshgplacehgt
hehgclienthgathgriskhgforhgurinaryhgretention?
Ketorolach g Hydromorpho
nehg(Dilaudid)hgBethanechol
hg(Urecholine)hgTobramyci
nhg(Nebcin)
**Ahgnursehgishgcaringhgforhganhgolderhgadulthgclienthginhgahglong-
termhgcarehgfacilityhgwhohgishgdisorientedhgandhgcontinueshgtohggethgouthgofhgbedhgwithouthgassist
ance.hgWhichhgofhgthehgfollowinghgimageshgindicateshgthehgnursehgishgusinghganhgappropriatehginter
ventionhgtohgminimizehgthehgriskhgofhginjuryhgduehgtohgahgfall?
D
**Ahgpracticalhgnursehg(PN)hgonhgmedical-
surgicalhgunithgishgbeginninghgherhgshifthgandhgishgworkinghgwithhgahgregisteredhgnursehg(RN)hgan
dhganhgassistivehgpersonnelhg(AP).hgThehgPNhgshouldhgexpecthgtohgbehgassignedhgwhichhgofhgthe
hgfollowinghgtasks?
Teachhgahgclienthgwhohghashgahgnewhgdiagnosishgofhgdiabeteshgmellitushghowhgtohgself-
administerhginsulin.hgCreatehgahgplanhgofhgcarehgforhgahgnewlyhgadmittedhgclient.
Obtainhgahgstoolhgspecimenhgfromhgahgclienthgwhohghashgulcerativehgcolitis----
AdministerhganhgNGhgtubehgfeedinghgtohgahgclienthgwhohghadhgahgstroke
**Ahgnursehgonhganhgacutehgmentalhghealthhgunithgobserveshgahgclienthgwhohgbeginshgtohgspeakhgl
oudlyhginhgthehgcommonhgroom,hgsayinghgthathghehgcan’thghearhgthehgTV.hgWhichhgofhgthehgfollo
winghgishganhgappropriatehgresponsehgbyhgthehgnurse?
Youhgwillhgneedhgtohggohgtohgyourhgroomhguntilhgyouhgcanhgcalm
,hgdownhgokayhgThehgTVhgishgloudhgenoughhgforhgeveryonehgtohgh
earhgit
Youhgarehgbeinghginconsiderate.hgPleasehgstophgtalkinghgsoh
gloudlyhgLet’shggohgtohganotherhgroomhgtohgtalkhgabouthgwha
thgishgupsettinghgyou
**Ahgclienthgtellshgahgnursehgthathghehgwouldhglikehgtohgobservehgkosherhgdietaryhglaws.hgTh
ehgnursehgshouldhgrecognizehgwhichhgofhgthehgfollowing?
,Ahgvegetarianhgdiethgishgthehgpreferredhgdiet
Dairyhgproductshgarehgservedhgseparatelyhgfromhgmeat
Fastinghgduringhgdaylighthgishgrequiredhgduringhgahgmonth-
longhgholidayhgFishhgwithhgscaleshgandhgfinshgshouldhgnothgbehgea
ten
**Ahgnursinghgunithgreceiveshgnewhgglucosehgmonitoringhgequipmenthgfromhgstaffhgdevelopmenthg
withhgthehgpromisehgthathgin-
servicehgeducationhgwillhgbehggivenhgsoon.hgWhichhgofhgthehgfollowinghginstructionshgshouldhgthehg
nursehggivehgtohgthehgassistivehgpersonnelhg(AP)hgwhohgishgpreforminghgglucosehgmonitoringhgonhgt
hehgunit?
Contacthgthehgstaffhgdevelopmenthgdepartmenthgforhginstr
uctionhgContinuehgusinghgthehgcurrenthgglucosehgmonitors
Checkhgforhgaccuracyhgandhgproperhgfunctioninghgofhgthehgnewhgmonitor
Readhgthehginstructionhgmanualhgbeforehgattemptinghgtohgusehgthehgnewhgmonitor
**WhichhgofhgthehgfollowinghgshouldhgthehgnursehgdocumenthgashganhgindicationhgofhgthehgIVhginfil
trationhginhgahgclient’shgforearm?
Rednesshgalonghgvein
TissuehgsloughinghgathgthehgsitehgF
orearmhgthathgishgwarmhgtohgthehgto
uchhgPallorhgsurroundinghgthehginfu
sionhgsite
**Ahgclienthgrequestshginformationhgabouthgadvancedhgdirectives.hgWhichhgofhgthehgfollo
winghgishgthehgappropriatehgresponsehgbyhgthehgnurse?
Advancedhgdirectiveshgarehgwrittenhginstructionshgregardinghgendhgofh
glifehgcarehgAdvancedhgdirectiveshgprovidehgeducationhgonhgpalliativehg
carehgissues
Advancedhgdirectiveshgrequirehgthehgprovider’shgapprovalhgbeforehgchangeshgcanhgbehgimplemen
tedhgAdvancedhgdirectiveshghelphgdeterminehglegalhgcompetency
**Ahgnursehgishgcaringhgforhgahgclienthgwhohgishgonhgtelemetry.hgWhichhgofhgthehgfollowinghgECGhg
, findingshgshouldhgthehgnursehgreporthgtohgthehgchargehgnurse?
OnehgPhgwavehgpriorhgtohgeachhgQRShgcomplex
