RN VATI LEADERSHIP AND MANAGEMENT 2019 FORM A, B AND C EACH FORM CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+||NEWEST VERSION!!

RN VATI LEADERSHIP AND MANAGEMENT 2019 FORM A, B

AND C EACH FORM CONTAINS 70 QUESTIONS AND

CORRECT DETAILED ANSWERS|ALREADY GRADED

A+||NEWEST VERSION!!

FORM A

A nurse is caring for a client who has a respiratory infection. What

techniques should the nurse use when performing nasotracheal

suctioning for the client? - ANSWER- Apply intermittent suction when

withdrawing the catheter to prevent mucosal injury

What happens if you suction for more than 10 seconds? - ANSWERYou can cause cardiopulmonary compromise

When should a nasotracheal suction catheter be inserted into the body? -

ANSWER- When client is inhaling to avoid inserting it into the

esophagus

A nurse is caring for a post op client following a knee arthroplasty and

requires the use of thigh-length SCDs. What actions should the nurse

take? - ANSWER- -Make sure two fingers can fit under the sleeves to

avoid inhibiting circulation when sleeves inflate

-Set the ankle pressure between 35-55 mmHg

A nurse is initiating a protective environment for a client who has had an

allogeneic stem cell transplant. What precaution should the nurse plan

for this client? - ANSWER- Make sure the client wears a mask when

outside her room if there is construction in the area. An allogeneic stem

cell transplant compromises the client's immune system, greatly

increasing the risk for infection. The client will need protection from

breathing in any pathogens in the environment.

How should open irrigation be performed when irrigating a client's

indwelling urinary catheter? - ANSWER- -Instill 30-40 mL of irrigation

fluid

-Use a 30- to 50-mL syringe

-Subtract amount of irrigant used from the client's urine output

What type of dressing promotes healing in stage 2 pressure injuries? -

ANSWER- Hydrocolloid dressings by creating a moist wound bed

What kind of dressing is used for stage 1 pressure injuries? - ANSWERTransparent dressings promote healing by preventing further friction and

shearing

When are alginate dressings used? - ANSWER- Stage 3 and 4 pressure

ulcers to absorb drainage. They form soft gel when they come into

contact with drainage

A client is hospitalized for multiple rib fractures following a motor

vehicle accident (MVA). The results of an arterial blood gas (ABG's)

are; pH 7.30, pCO2 48, HCO3 26 and pO2 91 on 2 L/min of oxygen per

nasal cannula. What intervention has the highest priority? - ANSWERAssist the client to deep breathe, splinting with a pillow. (The client is

experiencing respiratory acidosis from hypoventilation caused by painful

respirations from fracture ribs. Splinting the chest wall with a pillow will

decrease pain associated with deep breathing. Deeper breaths will allow

for better gas exchange, which will correct the acidosis)

A nurse manager is changing the ration of RNs to LPNs on a unit to

decrease costs. What strategy should the nurse manager implement to

reduce resistance from staff? - ANSWER- Formulate staffing schedule

covering one month.

The nurse manager should include the staff in the process by formulating

a sample staffing schedule covering 1 month so that the staff can view

the schedule and provide feedback. Resistance to change is an integral

part of the process of change. A common reaction to scheduling changes

is a fear of loss of hours and lack of trust of the employer

When should a nurse complete large tasks that require the most time and

energy? - ANSWER- Beginning of shift when energy levels are high

A client who is 34 weeks of gestation is reporting abd tenderness. What

are you concerned about? - ANSWER- Early clinical finding associated

with abruption placenta

What is an anastomotic leak? - ANSWER- a leak of luminal contents

from a surgical join

A nurse is teaching a client who has iron deficiency anemia about

ferrous sulfate. What instructions should the nurse give - ANSWERTake medication between meals for optimal absorption

(antacids interfere with ferrous sulfate absorption too; also diary

products inhibit absorption)

What is Clopidogrel (Plavix) used for? - ANSWER- it is an antiplatelet

medication (anticoagulant) - used to prevent MI, stroke, or peripheral

arterial disease during an acute myocardial infarction.

What is atropine? - ANSWER- Antidote for muscarinic poisoning;

anticholinergic

What are some symptoms indicating an anastomic leak? - ANSWER- -

Restlessness

-Oliguria

-Tachycardia

-Back, shoulder, or abd pain

What is an anastomosis? - ANSWER- *surgical connection* between

two tubular structures, such as blood vessels or loops of intestine

What is open reduction and internal fixation? - ANSWER- A type of

treatment to fix a broken bone. It puts the pieces of a broken bone back

together so they can heal. Open reduction means the bones are put back

in place during a surgery.

What might an O2 saturation of 90% on 2L of O2 per nasal cannula

indicate in the post-op period? - ANSWER- Hypoxemia can be caused