VATI 2024 Comprehensive Predictor
A home health nurse is caring for a child who has Lyme disease. Which of the following is an
appropriate action for the nurse to take? - ANS Ensure the state health department has been
notified
A nurse is caring for a client who has been admitted to the hospital.
Nurses' Notes.
0900:
The client reports experiencing a loss of appetite and shortness of breath within the last month
or so. The client reports experiencing weakness, abdominal pain, severe itching, and mood
changes. The client has had alcohol use disorder for the past 10 years and sometimes drinks
alcohol uncontrollably.
The client is alert but disoriented to time. Their abdomen is bloated and they have redness of
the palms of the hands. Excoriated areas on the upper thorax and shoulders are present. Sclera
are yellow.
1230:
Administered antacids, spironolactone, and colchicine per provider's prescription.
Vital Signs.
0930:
Temperature 37.3° C (99.1 F).
Heart rate 84/min.
Respiratory rate 20/min.
BP 138/88 mm Hg.
Oxygen saturation 93% on room air.
1600:.
Temperature 37° C (98.6° F).
A home health nurse is caring for a child who has Lyme disease. Which of the following is an
appropriate action for the nurse to take? - ANS Ensure the state health department has been
notified
A nurse is caring for a client who has been admitted to the hospital.
Nurses' Notes.
0900:
The client reports experiencing a loss of appetite and shortness of breath within the last month
or so. The client reports experiencing weakness, abdominal pain, severe itching, and mood
changes. The client has had alcohol use disorder for the past 10 years and sometimes drinks
alcohol uncontrollably.
The client is alert but disoriented to time. Their abdomen is bloated and they have redness of
the palms of the hands. Excoriated areas on the upper thorax and shoulders are present. Sclera
are yellow.
1230:
Administered antacids, spironolactone, and colchicine per provider's prescription.
Vital Signs.
0930:
Temperature 37.3° C (99.1 F).
Heart rate 84/min.
Respiratory rate 20/min.
BP 138/88 mm Hg.
Oxygen saturation 93% on room air.
1600:.
Temperature 37° C (98.6° F).
