VATI

A nurse is assisting with the care of a client immediately following electroconvulsive therapy (ECT). Which of the following findings should the nurse document as an unexpected response to the procedure? - correct answer Irregular heart rhythm An irregular heart rhythm is an unexpected response to ECT. During the procedure, the client's heart can be stressed, which can cause cardiac abnormalities. especially if the client already has impaired cardiac function. The nurse should document this...

A nurse is planning care for a client following a suicide attempt. Which of the following interventions should the nurse include in the plan? - correct answer Provide the client with plastic eating utensils. -The client can use glass dishes and metal silverware to cause self harm, therefore, the nurse should arrange for the client to have only plastic products on their meal tray. A nurse is performing an admission assessment for a client who appears withdrawn and fearful. Which of the foll...

A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for acute lymphoid leukemia. The nurse should inform the parent that the child will undergo which of the following tests to confirm the diagnosis? - correct answer Bone Marrow biopsy A nurse is planning to reinforce teaching about head injuries with a group of parents of school age children. The nurse should instruct the parents to monitor for and report which of the following meanifestations? - co...

A nurse is collecting data from a client who has acute cholecystitis. Which of the following manifestations should the nurse expect? - correct answer Pain radiating to the right shoulder. A nurse is reinforcing teaching with a client who has a prescription for clopidogrel following a thrombotic stroke. Which of the following information should the nurse include in the teaching? - correct answer "The medication prevents clot formation." A nurse is contributing to the plan of care for a cl...

Low-residue diet - correct answer Dairy products & eggs, such as custard and yogurt (Rat) A low-residue diet consists of foods that are low in fiber and are easy to digest such as eggs, custard, yogurt and ripe bananas - NOTE Legumes such as lentils and black beans are high in fiber and are not considered low in residue. A RN is caring for a patient who weighs 80 kg and is 5 ft 3 in tall. Calculate the BMI and determine if the patients BMI indicates a healthy weight, underweight, overweigh...

A nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of the following manifestations should the nurse monitor to prevent fluid volume overload? (Select all that apply.) A. Dyspnea B. Gastrointestinal bloating C. Jugular vein distention D. Confusion E. Hypotension - correct answer A. Dyspnea C. Jugular vein distention D. Confusion Dyspnea is a clinical manifestation of fluid volume overload. Jugular vein distention is a clinical manifes...

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect? (Select all that apply.) - correct answer Poripheral edema Hepatomegaly Abdominal distention A nurse is caring for a client who has heart failure and a new prescription for furosemide. The nurse should monitor the client for which of the following adverse effects of the medication? - correct answer Tinnitus The nurse should monitor clients who take furos...

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect? (Select all that apply.) - correct answer Poripheral edema Hepatomegaly Abdominal distention A nurse is caring for a client who has heart failure and a new prescription for furosemide. The nurse should monitor the client for which of the following adverse effects of the medication? - correct answer Tinnitus The nurse should monitor clients who take furos...

A nurse is caring for a client who has global aphasia following a cerebrovascular accident (CVA). Which of the following actions should the nurse incorporate into the client's care? A. Provide the client with two-step tasks B. Request a consult with the speech-language pathologist. C. Ask questions the client can answer with a simple "yes" or "no." D. Use a raised voice when speaking to the client. - correct answer B. Request a consult with the speech-language pathologist. The spee...

A nurse is reinforcing teaching with a postpartum client. Which of the following should the nurse explain as the most important reason for staff to wear identification? - correct answer Reducing the risk of newborn abduction A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of the following statements indicates an understanding of the instructions? - correct answer I will feed my baby six to eight times a day A nurse is reinforcing teaching with a cl...