Nursing Study Set

VATI Greenlight COMPLETED / STUDY SET

• For a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65 mL/hr through a gastrostomy tube, immediate intervention is required if the infusion pump for administering continuous feeding is turned off.
• For a client with a magnesium level of 4.4 mEq/L, expect to find hypotension.
• For a client with an increased cholesterol level, recommend egg whites as part of their diet.
• For a toddler with respiratory syncytial virus, use a designated stethoscope when caring for the toddler.
• For a client with a chest tube following a thoracotomy, intervention is required if there is only 1 cm of water present in the water seal.
• If a client is taking a garlic supplement and also takes aspirin daily, it is a contraindication for taking the supplement.
• For community education about viral hepatitis, include that a series of four hepatitis vaccines is recommended to prevent viral hepatitis.
• For a client with right ventricular heart failure, expect to find elevated pulmonary artery pressure.
• For a home health nurse conducting an initial home visit for a client who has terminal breast cancer, the priority nursing action is to inform the client of available community resources.
• Postoperative teaching to a client who has a newly-inserted pacemaker is effective if the client states "I will use my cell phone on the ear opposite of my pacemaker."
• Decreased reflexes indicates that a client with heart failure who has started taking a loop diuretic is experiencing an adverse effect of the medication.
• When caring for a client who has neutropenia due to HIV, wear an N95 respirator.
• When providing information to the nursing staff regarding the appropriate use of client restraints, include the following:
• The nurse should pad the bony prominences.
• The nurse should remove the restraints every 2 hr.
• The provider's prescription should include the.
• When providing discharge teaching to a client who has active tuberculosis, educate the client on how to cover the nose and mouth with tissues when coughing.
• For a client who reports difficulty falling asleep at night, schedule routine care tasks during hours when the client is awake.
• When preparing a client for surgery and having just administered the preoperative injection, review deep breathing and coughing exercises.
• If suspecting another nurse is chemically impaired during their shift, report it to the nurse manager.
• If a nurse finds that the water seal is no longer tidaling in a client who has a new chest tube, it could be due to the tubing being kinked.
• For a licensed practical nurse (LPN) and an assistive personnel (AP) admitting a client who is experiencing acute liver failure, the task most appropriate to delegate to the LPN is to measure the amount of gastric drainage every 2 hr.
• An adult male client with a BMI of 20 falls within the healthy weight category.
• When assessing a client who has a long arm cast for acute compartment syndrome, monitor for a change in mental status.
• When planning care for a newly admitted client, administer pain medication to the client first.
• The expected finding when shining a light source into the visual field of a 4-month-old infant is that the infant closes their eyes.
• When planning discharge teaching for a client who is scheduled to receive intravenous infusions at home, include placing the infusion pump cord against the baseboards.
• If an assistive personnel offers oral fluids to a client who has just returned to the unit following a bronchoscopy, the nurse needs to intervene.
• For an infant who has water intoxication, expect to find Generalized edema.
• For a client who is in labor and receiving electronic fetal monitoring with early decelerations, expect Head compression.
• Implement droplet precautions for Pertussis for a nurse caring for a group of clients in a pediatric unit.
• If a client asks if it is safe to take a glucosamine supplement, assess for shellfish allergy as a potential contraindication.
• A client who has started taking oral contraceptives and is experiencing bright red vaginal breakthrough bleeding should be instructed to come to the family planning clinic.
• When speaking to a client who has a hearing impairment, rephrase sentences the client does not understand.
• A nurse in a mental health facility should lean in slightly when speaking to a newly admitted client during an interview.
• A client who had a stroke 2 days ago and needs help toileting is appropriate to assign to an assistive personnel.
• The purpose of brainstorming is to generate new ideas to address a public health concern.
• When providing teaching about preventing mastitis to a client who is postpartum and breastfeeding her newborn, Try to have your baby empty your breasts with each feeding."
• When inserting an indwelling urinary catheter for a female client, the sequence of actions is as follows:
• Apply sterile gloves and place cleansing balls in antiseptic solution.
• Attach prefilled syringe to indwelling catheter inflation hub.
• Cleanse the meatus with the dominant hand in a downward motion.
• Lubricate the catheter and place fenestrated drape over perineum.
• Insert the catheter until a flow of urine begins.
• When teaching a client who is at 8 weeks of gestation and experiencing episodes of nausea and vomiting, include eating a dry carbohydrate before getting out of bed.
• Check the fetal heart rate (FHR) is a priority action when caring for a nulliparous client in the first stage of labor that experiences a large gush of fluid.
• Report the incident to Adult Protective Services when assessing a client brought to the emergency department by their adult child with contusions on all four extremities.
• Hypertension is a contraindication to the administration of methylergonovine for a postpartum client with vaginal bleeding refractory to fundal massage and oxytocin.
• The teaching is effective if a client states, "My stoma will drain liquid fluid continuously." regarding discharge instructions to a client who has a new ileostomy.
• Assess Indigestion first when at the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports.
• Constricted pupils, delayed reflexes, and decreased blood pressure are potential manifestations of Opioid intoxication
• Furosemide may increase the client's risk for ototoxicity when reviewing the medical record of a client who has a new prescription for gentamicin.
• A urine output of 250 mL/hr indicates that client is developing DI when caring for a client who is at high risk for developing diabetes insipidus (DI) following a severe head injury.
• Sputum culture is the diagnostic assessment to recommend for employees to screen for the presence of tuberculosis when reviewing the employee health program for new employees.
• Allow the infant to suck on a pacifier during feedings is what the nurse should include in the teaching when teaching a guardian about administering tube feedings to their 3-month-old infant.
• Place the client in a low-Fowler's position is needed when assessing a client who is postoperative following abdominal surgery that notes dehiscence of the incision
• Dim the lights in the room prior to the examination when assessing a client's internal eye structures with an ophthalmoscope.
• Iron is what the nurse should recommend the client increase in their diet during lactation when providing discharge teaching to a client who is postpartum and plans to breastfeed.
• Empty the bladder before and after intercourse is what the nurse should plan to include in the teaching about UTI prevention for a client who is at 10 weeks of gestation and has a history of urinary tract infections (UTIS).
• Monitor for abdominal ascites when caring for a client who has cirrhosis of the liver
• Take with meals is what the nurse should include in the teaching for adolescent client who has cystic fibrosis and has a prescription for pancrelipase.
• Discard opened cans of formula after 24 hr is what the nurse should instruct for a client who is receiving continuous enteral feedings and reports diarrhea.
• Plan to monitor for ototoxicity the adverse reaction when is preparing to administer vancomycin to a client who has an infected wound.
• Improve joint functioning is the health benefit of using chondroitin and glucosamine.
• Hospice care encourages the family to coordinate health care services and should be included when teaching a client and their family about home hospice care.
• Monitoring the insertion site for infection is the priority nursing action for a client having just returned to the nursing unit following cardiac catheterization.
• Action that the nurse must take is Require the cient wear a dosimeter badge when caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer.
• "Hepatitis A can be spread by fecal-oral contact," statement is made when a community health nurse teaching a group of restaurant workers about hepatitis A.
• "You're curious why I am interested in you and not the others?" response is therapeutic when checking up on an adolescent admitted with clinic depression.
• HBA1C is the laboratory test should a home health nurse review to determine effective long-term management of blood glucose levels for client who has diabetes mellitus.
• Abdominal rigidity indicates to the nurse that the NG tube might not be functioning properly if a client is postoperative following bowel surgery and has an NG tube connected to low intermittent suction.
• Fever is the highest priority for the client to report to the provider when nurse providing teaching to aschizophrenia client starting therapy with cloazpine medicine.
• "This technique decreases the risk of subcutaneous infiltration." shows the newly licensed nurse understands the purpose of the technique when discussing the Z-track administrations with doctor.
• Hyperreflexia is the finding that the client will expect when experiencing withdrawal.
• Relieved by position change is what the nurse should include if its 36 hr postop
• withhold the medication if the pulse is 54/mini while being cared for a client who has been taking properanolol
• Sucralfate 1g PO 1 hr ac. represents correct documentation.
• Iodine represents allergies as a contraindication for the client to undergo a thyroid scan?
• Open the client windows is the nurses response with a headache,kerosene spaced heater in use confuson
• Witnessing singing is the correct thing to say during a newly license new on insurance form
• Admin the medication with a glass iof orange juice is correct the guardian to a school
• Nurse should bring to the child bring child to the funerla service before
• The nurses needs to notate bounding pules with fluid overload
• Levotthryxiine with effective weight
• Place new born 45cms light
• No serious complication on total knee replacement
• 7 year with serveal dehydraltion with a bold plessure 94//68
• A cloeint who has alcoloic pancreatice wit imeptigo need is pregnant nurse care.
• the approrapte is teachclinet to medated aobssive throuhts
• Client reported is haring voicaes is nurses priorty
• Medaciation into conjical sav.
• Repeats the rodes of other speadk wors in slads and expereince delsujons
• No bowle monemnets fo3 odays nurses is rto nurses provieder
• "Stop to to disscuion need to so the highiv status from a ap nurses
• Dertrmine paine levesl is take nurse fitst
• Avoi foods thaht hiuh ogheals is teach is approcprate high for tehaching
• Clinet report decreades is fealt moruemtent fr 2 days is labor anddelivery nurses
• Maintain midline position is interventions need to be increase itracrnaail prensure
• lab reports for chest paine shows Triponin 1.1.1mg\mL
• nurses need scheclued draw the troehg levels to be drawn is 0900
• Pepraeds the cleint fore cecrsaen sectuions
• Nurses need use tethicasl prciples for deomnsitratinf jstice
• Hypeeemsi with delayed wounds healaing
• sertatilnes med should nurses expect preovdie is prescribeds
• Nuerses needs be report leartagic an dconfussed frist
• Pacrictate form program
• Notiifcation for the farcilitey
• INfuse .9/sdoum clotthfie v in blood transgfsuo
• Anctipaitss need froteh follwonf equiopmen to
• Nursers needs incljdes in techs preovdes if experiecne weaknses
• Soellnios lipas in cletints repoort for preority Gentlymassve ther sisnk of ther strpaones Ideytinf reasongs for ciels renfusal clopirefel priority to repott
• Avodvavofas a allexuy form lato
• Hyme desase fro state health reports
• Hepittais 5 cotradivcates the meds
• Occluced ith etbube
• Cmpares bolder plessures fr 2 hrs
• Clinet is lying on the floor next bedstide cables
• If just does worthly its an ymoter ask end your life
• Still tramsimit itenfeftuojn
• Withlold oligeths
• Assemtricl vary colriong
• Lastecontarictions 80 ssconfs the desreases te infuusioon Petval pulsses 202 the effectiive tratment
• The cliets pocket food to the side
• Burninh in the potinal adverse effext
• Mnitior the linet for one hr after meals
• Ampoartin
• Encoutgae clietn to flui 2500mols
• chnaged clotrhes aareta wortkin the feed
• Veiwjnsg neberins acotins to uncpooeraptes
• Revie the chest ray repoorts
• Usses for pespnaol galis
• Dmksyscloted stitma
• Adimisrtering ing thto clients i donas wnt that
• Obessever clienyt levek ogm obilitu
• Exaplins the cileny not have cofeete provs
• Trake wsoth meals iNfussee 10 for meqpotissiim cleotie
• set upa arromp fot expected post
• Redrect to AP ot odoscsiys ihthwe otrher api
• Dry rasied fadcialras
• indestions
• Prones to developmetn of blood clkots
• check orthotasdtc bop thr ater amiin
• Adismin pain medcs
• Shngiles
• peomna andrespertitry tets sroye on wasable items fr 14 days
• Paud tihte sid of ther bebds
• Shellfish alllegry
• Ucontgorked pain
• Immobillize that extremeitt
• Allwo te sighlings iasit atere ddinniong a sterile goosn mask gvotes bipt iorbrists philacyo aontct
• lyikng flat
• Troponin 1/8
• Realignd the extreitut
• acknowledging th reatiloy
• Admim thhree amedecit
• coughting _ fothyt piink cretiosss
• Cobering te innsertions ste with transpartesn derssying
• improe hont fruinticong
• reiwveffects fo smimkong Detemrions for the clyejrntliving situtationn An innatn withi flahutre aot tivej anfd was desicahfreed from fafciliy yesesrtfay to afosetr hme on dsailly swgihts decreasex blood xogymengion
• set up calertie timgeframe fro compltio
• Urjnije vuytpyru 250
• Pooh rilmpsle contryo
• rpeare the clt for section high porotein diea
• Eat bedtime snack contaijnibjg ccarbohydrtess
• = Ampuation edcuatiogn gcover nose and moutj with tissues tcommunciate my ewsishes
• Roasf boesfand and ice ceamj gverma anthetic admion prior
• petrtussid bioos
• report dpipioa nausea and was unoconsciou at scebe ntiw awake portabke nutrion fkksods
• contratsins ocicuty ey vert 90 srcons
• Screen the clientt or tatditive dsiyensai
• Clsoed eyers
• Rephpases senyences th cletin does nirt unnderstang
• clarilrt cliets ant perecived neesds ask cletin about her unterstang
• 1 yse thde same ares as I rotate inswctjion sited
• hbaclx
• cjool rooml rejduces roon tiemt
• yousre cimcertn sother may go wrong` cleases w/moistizkikn
• Reduces hte rr
• negtaivr prsduure yroom A cop chaot wherelss Persionalized wmeal
• witnes consents befoere Elevted bun
• alt
• no yiu can ontinuse
• 68 yre odlf dixoins and furerjmosi . - renove fre4sh flower s ponnia below outeer conhtucx of eys

Chekf frevth

• Hepattis a
• Shsarp pain rioght shoilder.
• insetred insllings catyher of haws not
• Weysd nile virus from m9sotouitv obit.e.
• youer uiosucrthuy is
• CLient replrsy mihnial
• lecar fluods dranage from naires
• Perutsyus this is manifestiaton

Liyes with cervical psin . -Exapskin potetntsl ruisks.

• inteemtirt placed the ancke . Thyoruidsceomy

• Allourional

• Mininzie emnnvinotmemnral stumuli

• 3 months

• flucation of fluide in chamber b middles`

• oLAce inet lowes folers pison

• Auditoiyg haullucanrtoiijs. Reaviek r chest xray

• Supines piiton

• Kep0 3 t distnace frim the radiation iplma Sodjium

Low fat yogurt

• Mnitpor fir abdomibal asciites

Telk mee your feelings

• Decrease d redlexes.

• Ofteet oral fluids

• T aking walkin phsyicasl acitirt Long prelobtred rests

Seirum soiudm opf 138. Tnnitisus ,p pee flursimide

• abx adnp aisiprints sreivei tunitus
• Placr clieut on conath t precautions
• Decerses n iekeding puntuctjtes sites
• turn offff hperain drip
• Trasnfer cluetinf frim bd to chasir n echamjcal lift.
• apply veionjs plexous flit pums
• Suport effted leg an piioww
• this technique decrers clutnts reitios painesl.

lwtys talk about what hasd 1 Canttseem ti gang anything Provide clietnhith the alterntains prsrsude msastretsa.

• place oneunafet sidre re
• . Eampty baladwr befotre senxy timer.

Apploes the desying in perxmalto ddtiakl paters Cluiwntes hsve e hx it is not on

fITH INYERVASTAL THEFT MIDCIUSLAR INES Dillute souteo and no morw TAKE INeDICASINO e 11. K BANANBA AS

• MANTUTOX ITESTS CARARAATE 969 PO THR AC HAPOATMEGALY LIVER ENLANGEMENT SLOEP WA 4. B ELEVATED
• noofy pur prvodeiifou exmplexe weakingness! moves ther efeft legs and waler ahad togehtger sooo the ckeotb an ejdcutaiuokn wideo Hospise vAre imrpived qjualloty. th eysds answloqiw sounds anre audubw Maeyrrnal brssasrws Assits eith miney mganement