ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 1 of 89
A client is admitted with infective endocarditis (IE). Which finding would alert the nurse to a complication of this condition?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 2 of 89
A woman comes to the antepartum clinic for a routine prenatal examination. She is 12 weeks pregnant with her second child. Which of the following shows proper documentation of the client's obstetric history by the nurse?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 3 of 89
Restating a person's message back to them in your own words, refers to the act of:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 4 of 89
The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 5 of 89
A 14 year-old client has viral pneumonia and is receiving acetaminophen (Tylenol) for fever control. Which instruction should the nurse include when teaching the client's parents?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 6 of 89
A registered health care professional who provides primary care to low-risk women throughout their pregnancy is a:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 7 of 89
A client is admitted with a diagnosis of myocardial infarction (MI). The client is complaining of chest pain. The nurse knows that pain related to an MI is due to
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 8 of 89
The nurse is teaching diet restrictions for a client with Addison's disease. The client would indicate an understanding of the diet by stating
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 9 of 89
A client has had a tracheostomy for 2 weeks after a motor vehicle accident. Which task could the RN safely delegate to unlicensed assistive personnel (UAP)?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 10 of 89
Which position is recommended for a patient experiencing difficulty breathing?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 11 of 89
A young child is admitted for treatment of lead poisoning. The nurse recognizes that the most serious effect of chronic lead poisoning is
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 12 of 89
What is the primary purpose of a urinary catheter?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 13 of 89
What is the primary purpose of providing oral care to an unconscious patient?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 14 of 89
The nurse is preparing a client who will undergo a myelogram. Which of the following statements by the client indicates a contraindication for this test?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 15 of 89
A Holistic care approach for a client includes:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 16 of 89
Human growth refers to changes in:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 17 of 89
The nurse is teaching a client with cardiac disease about the anatomy and physiology of the heart. Which is the correct pathway of blood flow through the heart?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 18 of 89
The nurse is caring for a client with Rheumatoid Arthritis. Which nursing diagnosis should receive priority in the plan of care?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 19 of 89
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important instruction regarding exercise would be to
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 20 of 89
Which one of the following is an objective symptom (sign)?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 21 of 89
The loss of physical or mental health refers to:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 22 of 89
A person authorized to give or withhold consent on an incapable person's behalf is called:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 23 of 89
While working with an aggressive patient, it is important for the nurse to:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 24 of 89
A client tells the nurse, 'I have something very important to tell you if you promise not to tell.' The best response by the nurse is
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 25 of 89
Which one of the following actions would help meet a client's self-esteem needs?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 26 of 89
Which patient population is at a higher risk of pressure ulcers?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 27 of 89
The nurse is caring for a pregnant woman with pregnancy induced hypertension (PIH) receiving magnesium sulfate intravenously. In assessing the client, it is noted that respirations are 12, pulse and blood pressure have dropped significantly, and 8 hour output is 200 ml. What should the nurse do first?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 28 of 89
Support strategies for clients with dementia include all of the following except:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 29 of 89
The nurse is caring for a client with congestive heart failure. Which finding requires the nurse's immediate attention?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 30 of 89
The nurse is attending a workshop about caring for persons infected with hepatitis. Which characteristic is most appropriate when defining the incidence rate of hepatitis?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 31 of 89
Which action demonstrates proper hand hygiene for a nurse before and after patient care?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 32 of 89
An 82 year-old client is prescribed eye drops for treatment of glaucoma. What assessment is needed before the nurse begins teaching proper administration of the medication?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 33 of 89
A PSW breaks a resident's glasses because of carelessness. What specific term applies to this action?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 34 of 89
The nurse is caring for a client who had a total hip replacement yesterday. Which action should the nurse take to prevent dislocation of the prosthesis?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 35 of 89
The nurse understands that a priority goal of involuntary hospitalization of the severely mentally ill client is
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 36 of 89
A pre-term baby develops nasal flaring, cyanosis and diminished breath sounds on one side. The provider's diagnosis is spontaneous pneumothorax. Which procedure should the nurse prepare for first?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 37 of 89
Mr. Johnston is very confused. He likes to have a cigarette after lunch. You should:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 38 of 89
Which of these women in the labor and delivery unit would the nurse check first when the water breaks (ROM) for all of them within a 2 minute period?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 39 of 89
The department that plans for activities and socialization is the:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 40 of 89
Which best describes a protective covering of the body, composed of both living and dead skin?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 41 of 89
The nurse is instructing a client with moderate persistent asthma on the proper method for using MDIs (multi-dose inhalers). Which medication should be administered first?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 42 of 89
Persistent and enduring behaviour patterns that tend to be expressed in a variety of situations refer to a person's:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 43 of 89
What is the most important consideration when teaching parents how to reduce risks in the home?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 44 of 89
Mr. Griffin touches the support worker in an inappropriate way while care is being provided. What appropriate immediate action should be taken by the support worker?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 45 of 89
Following mitral valve replacement surgery a client develops PVC's. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mg/minute. The IV solution contains 2 grams of Lidocaine in 500 cc's of D5W. The infusion pump delivers 60 microdrops/cc. What rate would deliver 4 mg of Lidocaine/minute?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 46 of 89
To prevent keratitis in an unconscious client, the nurse should apply moisturizing ointment to the
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 47 of 89
A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 48 of 89
The nurse is caring for a school-aged child with a diagnosis of secondary hyperparathyroidism following treatment for chronic renal disease. Which of the following lab data should receive priority attention?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 49 of 89
The nurse is planning care for a client with a cerebral vascular accident (CVA). Which of the following measures planned by the nurse would be most effective in preventing skin breakdown?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 50 of 89
How can a nurse assist a patient with limited mobility to perform oral care?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 51 of 89
If a client refuses to take his/her medications the PSW should:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 52 of 89
A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is experiencing anorexia, moderate edema and elevated blood urea nitrogen (BUN) levels. The child requests a peanut butter sandwich for lunch. What would the nurse's best response to this request?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 53 of 89
Which of the following is not a determinant of health?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 54 of 89
Which task for a client with anemia and confusion could the nurse delegate to the unlicensed assistive personnel (UAP)?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 55 of 89
What is the main advantage of cutaneous stimulation in managing pain:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 56 of 89
A 7 month pregnant woman is admitted with complaints of painless vaginal bleeding over several hours. The nurse should prepare the client for an immediate
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 57 of 89
The family of a 6 year-old with a fractured femur asks the nurse if the child's height will be affected by the injury. Which statement is true concerning long bone fractures in children?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 58 of 89
The hospital is planning to downsize and eliminate a number of staff positions as a cost-saving measure. To assist staff in this change process, the nurse manager is preparing for the 'unfreezing' phase of change. With this approach the nurse manager should:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 59 of 89
Seizures are treated with:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 60 of 89
Which action promotes a safe environment for a patient with impaired vision?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 61 of 89
The nurse is caring for a 10 year-old client who will be placed on heparin therapy. Which assessment is critical for the nurse to make before initiating therapy
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 62 of 89
A client with Guillain Barre is in a nonresponsive state, yet vital signs are stable and breathing is independent. What should the nurse document to most accurately describe the client's condition?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 63 of 89
The nurse is assessing a client who reports drinking a quart of vodka daily. The client says, 'I think I have a little bit of a drinking problem.' Which response by the nurse is most therapeutic?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 64 of 89
A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this child enters the hospital room for the first time, the toddler runs to the mother, clings to her and begins to cry. What would be the initial action by the nurse?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 65 of 89
A client has developed thrombophlebitis of the left leg. Which nursing intervention should be given the highest priority?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 66 of 89
A client is admitted with a diagnosis of schizophrenia. The client refuses to take medication and states 'I don't think I need those medications. They make me too sleepy and drowsy. I insist that you explain their use and side effects.' The nurse should understand that
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 67 of 89
The parents of a child who has recently been diagnosed with asthma ask the nurse to explain the condition to them. The best response is 'Asthma causes
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 68 of 89
A client confides in the RN that a friend has told her the medication she takes for depression, Wellbutrin, was taken off the market because it caused seizures. What is an appropriate response by the nurse?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 69 of 89
The use of the body in an efficient and careful manner refers to proper body:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 70 of 89
Bathing, grooming and elimination are examples of:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 71 of 89
In preparing medications for a client with a gastrostomy tube, the nurse should contact the health care provider before administering which of the following drugs through the tube?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 72 of 89
Which statement by the client with chronic obstructive lung disease indicates an understanding of the major reason for the use of occasional pursed-lip breathing
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 73 of 89
Grief is:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 74 of 89
A client is scheduled to receive an oral solution of radioactive iodine (131I). In order to reduce hazards, the priority information for the nurse to include in client teaching is which of these statements?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 75 of 89
A child is injured on the school playground and appears to have a fractured leg. The first action the school nurse should take is
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 76 of 89
A nurse and client are talking about the client's progress toward understanding his behavior under stress. This is typical of which phase in the therapeutic relationship?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 77 of 89
A client is discharged following hospitalization for congestive heart failure. The nurse teaching the family suggests they encourage the client to rest frequently in which of the following positions?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 78 of 89
When a resident recognizes the bath water is too hot, this involves which of his senses?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 79 of 89
When dressing a resident who has an IV in place, the PSW should:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 80 of 89
Which one of the following diets might be ordered for a client with heart disease?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 81 of 89
Which client data should the nurse act upon when a home health aide calls the nurse from the client's home to report these items?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 82 of 89
Jenny tells you that she is always able to tell when others are about to become violent because they yell. Your response to Jenny is based on your understanding that:
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 83 of 89
A client is scheduled to have a blood test for cholesterol and triglycerides the next day. The nurse would tell the client
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 84 of 89
The nurse should initiate discharge planning for a client
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Question 85 of 89
How can a nurse promote effective communication with a patient who has limited cognitive function?
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Question 86 of 89
A client is on complete bed rest. To prevent a bedsore a caregiver should:
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Question 87 of 89
What is the primary purpose of using a cooling fan for a bedridden patient?
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 88 of 89
The nurse must know that the most accurate oxygen delivery system available is
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ATI LPN · Chapter 14 Organizing Patient Care Questions
Question 89 of 89
Following surgery for placement of a ventriculoperitoneal (VP) shunt as treatment for hydrocephalus, the parents question why the infant has a small abdominal incision. The best response by the nurse would be to explain that the incision was made in order to
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