VATI Predictor

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VATI PR

172 term ally Practice questions for this set Learn1 / 7Study using Learn A client has HEART FAILURE and reports DIFFICULTY LIMITIN SODIUM in his diet. What is a recommendation?Reducing the risk of newborn abductionWhat is MOST important for STAFF to wear IDENTIFICATION?Client will feed the baby 6 to 8 times dailyWhat SHOWS understanding of a client who plans to BOTTLE FEED her

NEWBORN?

Choose an answer 1Replace salt with pepper in recipes2 Replace bottled salad dressing with homemade venegar and oil dressing 3Substitute olive oil for butter in cooking 4 Use low-sodium soy sauce instead of regular Don't know?

"I will exercise my joints as much as I can when they are inflamed" What client statement SHOWS understanding when client is diagnosed with OSTEOARTHRITIS and reports joint pain, swelling, and stiffness?Refrain from using deodorant on the morning of the test What INSTRUCTION to include with client scheduled for a MAMMOGRAM?Insulin Aspart Regular Insulin Lispro When preparing client's INSULIN REGIMEN, What INSULIN can be MIXED?"I will use a stool softener to prevent constipation" Postoperative client had LASER SURGERY for and open angle glaucoma. What client STATEMENT shows understanding?speech therapistA client has had a STROKE and is having DIFFICULTY SWALLOWING. What referral is RECOMMENDED for this client?Change perineal pad with each voidA client who is 12hr POSTPARTUM and has had EPISIOTOMY. What instruction to give this client?Periobital Edema (swelling around the eyes)A child client has ACUTE GLOMERULONEPHRITIS ( inflamed kidneys) What FINDING should the nurse expect?Use needless syringe in buccal cavity (cheek)Preparing to administer a LIQUID MEDICATION to a 6MONTH OLD INFANT who is crying. Action to REDUCE risk of ASPIRATION?"I will plan to have meals at regular intervals"A client has a PEPTIC ULCER DISEASE (open sores in lining in stomach). What client STATEMENT shows understanding?Pinpoint pupils (small pupils)Client who has a SUBSTANCE USE DISORDER and reports taking OPIOIDS. What is the manifestation of OPIOID INTOXICATION?Muscle weaknessClient reports having DIARRHEA for the past 3 days. What FINDINGS shows HYPOKALEMIA (low potassium) DepressionAn adolescent client has a new prescription of CEFAZOLIN (antibiotic). What finding does the adolescent MONITORS and REPORTS to provider?Apply pressure at the bridge of the child's nose A school aged child has EPISTAXIS (nosebleed). What ACTION the nurse takes?all vesicles have crusted overChild with VRICELLA (chickenpox) can be around other children when?"I feel tired all the timeClient's HGB is 8.8mg/dl (low blood). What statement the nurse expects from the client?Slow the rate of instillationAdministering a CLEANSE ENEMA to client who reports MILD CRAMPING during instillation of the solution? What ACTION the nurse takes?Frequently remind the client of expectations for her behavior Client has BIPOLAR DISORDER and experiencing MANIA. What ACTION the nurse take?Administer Aithromycin (antibiotic)Client has VIRAL PNEUMONIA. What ACTION the nurse takes?

Use paper tape for securing the new dressingCaring for an OLDER CLIENT who is postoperative after a TOTAL HIP ARTHROPLASTY. What NURSE ACTION demonstrates SENSITIVITY to AGE RELATED changes?Maintain continuity of staff membersA client with ANOREXIA NERVOSA. What is a RECOMMENDATION in the plan of care?HallucinationClient has SCHIZOPHRENIA and states he is receiving special audible messages for central intelligence agency that NO ONE ELSE CAN HEAR. What ALTERATION is the client having?Replace bottled salad dressing with homemade venegar and oil dressing A client has HEART FAILURE and reports DIFFICULTY LIMITIN SODIUM in his diet.What is a recommendation?"Wash your newborn's hair under a stream of running water" What statement the nurse is to include to postpartum client about her bathing newborn?Sit on soft pillows throughout the dayWhat INSTRUCTION to include for postpartum client after vaginal delivery and has SWELLING of the LABIA for NONPHARMACOLOGICAL PAIN RELIEF?"I'm available if you would like to talk about your concerns" Client has a new colostomy and voices reluctance about sexual relations. what is the nurse's response?Avoid sharing razors with other family members Transmission Precautions with client who has HEPATITIS C. What information to include?"I will wear cotton socks"Teaching about FOOT CARE with client who has DIABETES MELLITUS, what client statement shows they NEED further teaching?Observe client for 1hr after mealsClient has BULIMIA NERVOSA (purging disorder). What intervention is recommended?Respiratory therapist for breathing exercisesAssisting with discharge planning for a client after MYOCARDIAL INFARCTION (heart attack). Whats an appropriate referral for this client?Corn tortillas and black beansTeaching parents of a preschooler with diagnosis of CELIAC DISEASE ( digestive issue), what FOOD is recommended?DropletClient has MONONUCLEOSIS (viral infection), what is an ISOLATION PRECAUTION the nurse initiate?Wait 5 min between dosesHow to take SUBLINGUAL NITROGLYCERIN tablets?"I feel really close to you because you remind me of my ex-boyfriend" Client suspects experiencing TRANSFERENCE(feelings about one person to another person. Client's statement that identifies transference?Monitor client's skin integrity on a regular schedule What is the appropriate action when client has been placed in RESTRAINTS (limit movement device)?

"I will treat hypoglycemic reactions with 15g of carbohydrates" Client is newly diagnosed with type 1 DIABETES MELLITUS(insulin dependent), what client statement shows NEED for further teaching?Hypercalcemia (elevated calcium)Client has sustained full thickness burn and is in emergent phase of the burn. What FINDING the nurse expects?Toddler can say four wordsWhat is a FINDING the nurse should REPORT to provider about 18MONTH OLD

TODDLER?

• cup of raw broccoliWhat food has the highest VITAMIN C CONTENT?

BUN 16mg/dLClient has DEHYDRATION and is receiving contiuous IV THERAPY. What FINDING shows effectiveness of the IV THERAPY?The school age sister is concerned about the impact of her sibling's death on herself Child has terminal cancer, what response of child's sibling the nurse expects?Serve meals with plastic utensilsA client has attempted suicide. What action the nurse takes?Long term of use immunosuppressantWhat is a CONTRAINDICATION of Measles Mumps Rubella (MMR) "It is a light stroking of the skin during uterine contraction"What is the nurse's response to client asking about EFFLEURAGE(stroking) Technique?Increased heart rateOLDER client has new prescription for DIGOXIN, what is the the expected outcome?Give directions using simple phrasesClient has ALZHEIMER's Disease, what action is recommended in plan of care?Wait 5 min after instillation before instilling the drops in the other eye Planning to administer an OPTHALMIC MEDICATION (eye med) to a client, what action will minimize systemic absorption of this medication?Don gown and gloves when providing perineal care Client has MRSA(staph bacteria) infection, what action nurse plan to take?History of renal calculi (kidney stones)Client is requesting an oral contraceptive, what is a finding that is a CONTRAINDICATION of oral contraceptives?"I will notify my provider if I have tremors"Client has a new prescription for LITHIUM CARBONATE (bipolar med), what client statement shows an understanding of teaching?Cough with hemoptysis( blood from respiratory tract) Client is undergoing an evaluation for THORACIC AORTIC ANEURYSM(weak area in artery chest), what finding the nurse suspects an impeding rupture of aneurysm?Repeat the test on another fingerA nurse is caring for postoperative client and obtains a pulse oximeter reading of 89% which of the following interventions to the nurse take first?Strain the client's urineThe client has UROLITHIASIS(kidney stones) What Action nurse takes?