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VATI RN Comprehensive Predictor 1.A community health nurse is evaluating eligibility for home assistance for a client who is quadriplegic. Which of the following actions should the nurse perform first? a.Determine the client's living situation. b.Problem solved with the client. c. Offer community resources to the client. d.Assist the client with decision-making. 2.A nurse is discussing care with a newly licensed nurse for a client who practices Orthodox Judaism. Which of the following meals suggestions by the newly licensed nurse indicates a need for further teaching? a.Chicken breast and boiled potatoes. b. Carrot sticks and cottage cheese. c.Grilled cheese an Apple sauce. d.Roast beef and ice cream. 3.A nurse is preparing to auscultate a client apical pulse at the point of maximal impulse (PMI). the nurse should place the diaphragm of the stethoscope at which of the following locations a.Within the angle of Louis. b.5th intercostal space at the left midclavicular line. c.Second intercostal space to the right of the sternum. d.Over the xyphoid process. 4.A nurse is caring for a client who is receiving a blood transfusion at 125 mL/hour and develops a hemolytic reaction. Which of the following actions should the nurse perform? a. Infuse 0.9% sodium chloride IV. b.Administer an anti-pyretic. c.Decrease the infusion rate to 75 mL/hour. d.Place the client in a left lateral position 5.A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the following nursing actions should the nurse include in the plan of care? a.Remind the client to place the cane on the unaffected side. b.Adjust the length of the cane to equal the distance from the client's iliac crest to the floor. c.Remove the rubber tip from the cane to enhance ambulation. d.Place the King safely in the closet during naps and at bedtime. 6.Nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65 mL/hour through a gastrostomy tube. Which of the following findings requires immediate intervention by the nurse? a.The gastric residual volume is 250 mL following two hours of infusion. b.The client is lying in a supine position. c.The infusion pump for administering continuous feeding is turned off. d.Interior feeding bag and tubing are not dated. 7.A nurse is caring for a group of clients which of the following tasks is appropriate for the nurse to delegate to the assistive personnel (AP)? (Select all that apply.) a.change addressing for a client who has a stage three decubitus ulcer. b.Measure I&O for a client who is receiving peritoneal dialysis. c.Transfer client from bed to chair with mechanical lift. d.Provide postmortem care on a client who experienced cardiac arrest. e.Obtain a signed consent for a client for a screening colonoscopy. What class of medication is amitriptyline and why is this medication used as an adjuvant medication for pain?Elavil (amitriptyline) is an antidepressant medication that is sometimes prescribed off-label to manage chronic back pain. It is one of the drugs in a class of drugs known as tricyclic antidepressants.
What may an older client complain of when experiencing decreased cardiac output?These symptoms include diminished quality of peripheral pulses, cold and clammy skin and extremities, increased respiratory rate, presence of paroxysmal nocturnal dyspnea or orthopnea, increased heart rate, neck vein distention, decreased level of consciousness, and presence of edema.
What will the nurse do to address the clients hydration needs?And what will the nurse do to address the client's hydration needs? Stop the infusion and remove the catheter Elevate the extremity Encourage range of motion Apply a warm or cold compress depending on the solution infusing Restart the infusion proximal to the site or in another extremity.
What medications can interact with acetazolamide ATI?Acetazolamide may interact with cisapride, methenamine, anticonvulsants, other diuretics, cyclosporine, digoxin, drugs for diabetes, drugs that cause loss of potassium, lithium, memantine, procainamide, quinidine, aspirin and other salicylates, sodium bicarbonate, stimulants, or tricyclic antidepressants.
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A home health nurse is evaluating the clients knowledge of the medication terazosin
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