VATI Medical-Surgical | Complete Solution guide.
/. What is the nurse doing when assessing tactile fremitus? - Answer-feeling vibrations
on the back while the patient repeats the word "ninety-nine"
/.What should be implemented as part of oral suctioning? - Answer-Tell client to take a
deep breath and cough before starting the suctioning process
/.What is phlebitis? - Answer-inflammation of a vein.
/.What are potential side effects of radiation to the head and neck? - Answer-Dry mouth,
stiffness, nausea, lymphedema and inflammation of mucous membranes
/.If a person wakes up from a dream, what stage of dream were they probably in? -
Answer-REM sleep
/.What is an important note after appendectomy surgery? - Answer-First bowel
movement has occurred
/.What is an adverse effect of vancomycin that should be reported to the provider
immediately? - Answer-Tinnitus (ringing ear)
/.What are fat soluble vitamins? - Answer-A, D, E, K
/.What are the water soluble vitamins? - Answer-B and C
/.When a client is receiving TPN, what are nursing interventions for them? - Answer-
Assess skin turgor, monitor blood glucose, and asses insertion/dressing
/.What is primary intention wound closure? - Answer-closure where edges are closed
intentionally and are well approximated (stitches or staples)
/.What can a nurse expect for a patient who has a peripheral bypass graft on the leg? -
Answer-intermittent claudication, numbness/burning that ceases with rest, rubor when in
a dependent positon
/.Where is the most likely spot a nurse should draw a urine specimen on a patient that
has an indwelling catheter? - Answer-Port that is between the client and collection bag
/.What are signs of digoxin toxicity? - Answer-Seeing yellow spots, nausea, vomiting,
abdominal pain, tachycardia
, /.What is a potential life threatening adverse event of chronic cirrhosis of the liver? -
Answer-Varices
/.How often should a nurse monitor vital signs in the PACU? - Answer-every 15 minutes
/.What is bronchiectasis? - Answer-Condition in which airways develop scar tissue,
resulting in pooling of mucous
/.What does C-reactive protein indicate? - Answer-inflammation and risk for some types
of cancer
/.What is the lithotomy position? - Answer-A supine position of the body with the legs
separated, flexed, and supported in raised stirrups
/.Within what period should blood be initiated after being obtained from the blood bank?
- Answer-30 minutes
/.What is the most appropriate equipment to use when delivering precise oxygen
concentration? - Answer-Venturi mask
/.Breast exams are best performed when? - Answer-The week after menstruation
/.What is common in diabetes insipidus? - Answer-Decreased urine specific gravity and
osmolarity
/.What STD causes paralysis, blindness, and dementia if left untreated? - Answer-
Syphilis
/.What is included in the psychosocial component of a comprehensive assessment? -
Answer-amount of sleep, personal habits, and recreational activities
/.What is the purpose of a fenestrated trach tube? - Answer-it allows air to pass over the
vocal cords to enable the client to talk with the trach in place
/.What is a Katz ADL index? - Answer-Tool that ranks a client's abilities to perform ADLs
/.How long can troponin levels remain elevated? - Answer-10-14 days
/.How long can CKMB remain elevated? - Answer-3-6 hours
/.What should a patient do when a physician is removing a central line? - Answer-Take
a deep breath and hold it (decreases the chances of an air embolism)
/.Why are Montgomery straps used? - Answer-When dressing must be changed
frequently therefore protecting the skin because it is necessary to remove the tape for
each dressing change.
/. What is the nurse doing when assessing tactile fremitus? - Answer-feeling vibrations
on the back while the patient repeats the word "ninety-nine"
/.What should be implemented as part of oral suctioning? - Answer-Tell client to take a
deep breath and cough before starting the suctioning process
/.What is phlebitis? - Answer-inflammation of a vein.
/.What are potential side effects of radiation to the head and neck? - Answer-Dry mouth,
stiffness, nausea, lymphedema and inflammation of mucous membranes
/.If a person wakes up from a dream, what stage of dream were they probably in? -
Answer-REM sleep
/.What is an important note after appendectomy surgery? - Answer-First bowel
movement has occurred
/.What is an adverse effect of vancomycin that should be reported to the provider
immediately? - Answer-Tinnitus (ringing ear)
/.What are fat soluble vitamins? - Answer-A, D, E, K
/.What are the water soluble vitamins? - Answer-B and C
/.When a client is receiving TPN, what are nursing interventions for them? - Answer-
Assess skin turgor, monitor blood glucose, and asses insertion/dressing
/.What is primary intention wound closure? - Answer-closure where edges are closed
intentionally and are well approximated (stitches or staples)
/.What can a nurse expect for a patient who has a peripheral bypass graft on the leg? -
Answer-intermittent claudication, numbness/burning that ceases with rest, rubor when in
a dependent positon
/.Where is the most likely spot a nurse should draw a urine specimen on a patient that
has an indwelling catheter? - Answer-Port that is between the client and collection bag
/.What are signs of digoxin toxicity? - Answer-Seeing yellow spots, nausea, vomiting,
abdominal pain, tachycardia
, /.What is a potential life threatening adverse event of chronic cirrhosis of the liver? -
Answer-Varices
/.How often should a nurse monitor vital signs in the PACU? - Answer-every 15 minutes
/.What is bronchiectasis? - Answer-Condition in which airways develop scar tissue,
resulting in pooling of mucous
/.What does C-reactive protein indicate? - Answer-inflammation and risk for some types
of cancer
/.What is the lithotomy position? - Answer-A supine position of the body with the legs
separated, flexed, and supported in raised stirrups
/.Within what period should blood be initiated after being obtained from the blood bank?
- Answer-30 minutes
/.What is the most appropriate equipment to use when delivering precise oxygen
concentration? - Answer-Venturi mask
/.Breast exams are best performed when? - Answer-The week after menstruation
/.What is common in diabetes insipidus? - Answer-Decreased urine specific gravity and
osmolarity
/.What STD causes paralysis, blindness, and dementia if left untreated? - Answer-
Syphilis
/.What is included in the psychosocial component of a comprehensive assessment? -
Answer-amount of sleep, personal habits, and recreational activities
/.What is the purpose of a fenestrated trach tube? - Answer-it allows air to pass over the
vocal cords to enable the client to talk with the trach in place
/.What is a Katz ADL index? - Answer-Tool that ranks a client's abilities to perform ADLs
/.How long can troponin levels remain elevated? - Answer-10-14 days
/.How long can CKMB remain elevated? - Answer-3-6 hours
/.What should a patient do when a physician is removing a central line? - Answer-Take
a deep breath and hold it (decreases the chances of an air embolism)
/.Why are Montgomery straps used? - Answer-When dressing must be changed
frequently therefore protecting the skin because it is necessary to remove the tape for
each dressing change.
