Tüm alıştırma soruları

A client on an oncology unit has just been informed by the provider that their cancer is no longer responding to treatment. The client's partner begins pacing the public hallway, breathing rapidly, and loudly stating, "This cannot be happening!" In which order should the licensed practical nurse (LPN) prioritize the following actions? (Arrange the actions from first to last.)

An adult client is resting in bed after undergoing a right modified radical mastectomy with axillary lymph node dissection. How should the nurse position the client's right arm to promote optimal comfort and reduce swelling?

During a central venous access device tubing change, the catheter accidentally disconnects. The client immediately exhibits severe dyspnea, cyanosis, and tachycardia. In what order must the nurse perform the following emergency actions to mitigate the risk of a fatal air embolism?

A practical nurse (PN) is caring for an adult client who is receiving continuous enteral nutrition via a nasogastric (NG) tube. The client is scheduled to receive $300\text{ mg}$ of phenytoin. The pharmacy dispenses phenytoin oral suspension $125\text{ mg}/5\text{ mL}$. The client's morning laboratory results show a serum phenytoin level of $26\text{ mcg/mL}$. During the morning assessment, the client exhibits involuntary, rapid eye movements and a noticeably unsteady gait when transferring to the chair. Which of the following actions should the PN take? Select all that apply.

During mealtime at a long-term care facility, a practical nurse (PN) observes a resident who recently experienced a left-hemisphere stroke. The resident has been cleared to use adaptive utensils but pushes the tray away, begins to cry, and demands, 'I cannot do anything right anymore. You have to feed me!' Which action should the PN take to best support the resident's coping?

A client who is unresponsive following a traumatic brain injury is receiving continuous enteral feedings via a gastrostomy tube. The health care provider prescribes scheduled liquid oral phenytoin for seizure prophylaxis. The practical nurse is preparing to administer the medication. Which action should the nurse take?

A practical nurse is assigned to care for an older adult client admitted with mild dehydration linked to an age-related diminished thirst sensation. The healthcare provider orders the initiation of an oral rehydration protocol. In what chronological order should the nurse perform the following actions?

A practical nurse is collecting data on a client who is receiving continuous intravenous heparin therapy for a deep vein thrombosis. Which of the following findings indicate a potential complication and must be reported to the registered nurse immediately? (Select all that apply)

A practical nurse (PN) receives a telephone call from the laboratory reporting a critical serum potassium level of $6.2$ mEq/L for a client. The client's morning medications, which include the potassium-sparing diuretic spironolactone, are currently due. In what order should the PN perform the following actions to minimize the risk of complications? (Arrange the steps in the correct order of priority.)

An adult client on a telemetry unit is prescribed oral metoprolol for hypertension. When implementing safe medication practices for this client, which actions should the practical nurse include? Select all that apply.

A practical nurse (PN) is gathering data from a client who is 36 hours postpartum following an uncomplicated vaginal delivery of a term neonate at 40 weeks gestation. The client reports feeling very fatigued and mentions soaking a perineal pad from front to back every 45 minutes for the past two hours. The client's vital signs are temperature 99.0°F (37.2°C), heart rate 112 beats/minute, respirations 20 breaths/minute, and blood pressure 104/64 mm Hg. Which of the following actions should the PN take? Select all that apply.

A client is admitted to the progressive care unit following a cardiac catheterization utilizing a right femoral artery approach. Four hours after the procedure, the practical nurse obtains a blood pressure of $92/58 \text{ mmHg}$ and a heart rate of $114 \text{ beats per minute}$. The client exhibits mild pallor and reports feeling dizzy, but denies any localized groin pain or chest pressure. What is the priority nursing action?

An adult client is transferred to the medical-surgical unit immediately following a diagnostic cardiac catheterization performed via a right femoral artery approach. The client reports mild lower back pain and requests a change in position to relieve the discomfort. Which action by the practical nurse is the most appropriate to ensure the client's safety and comfort?

A practical nurse is assisting a client who is postoperative from abdominal surgery to transfer from the bed to a chair for the first time. Arrange the following actions in the correct sequence to ensure a safe transfer.

During the evening shift on a surgical unit, a practical nurse receives handoff report on a client recovering from a subtotal thyroidectomy performed earlier that day. The client reports mild incisional pain, is permitted a clear liquid diet, and strictly follows cultural dietary practices that prohibit consuming beef and pork products. Which care measures should the nurse implement? Select all that apply.

A practical nurse (PN) is collecting data from a client at a primary care clinic. The client's adult child died unexpectedly eight months ago. The client tearfully states, 'I was functioning okay for a while, but this week I am just so angry and I can't stop crying. I feel like I am not making any progress.' Which response by the PN is the most appropriate?

A practical nurse (PN) is providing morning care for an older adult resident in a long-term care facility. The PN observes several distinct, thumb-shaped bruises on the resident's inner arms. When asked about the bruises, the resident looks down and whispers, "The night aide squeezed me too hard when I wouldn't go to sleep." Which action must the PN take first to advocate for this resident?

Three days after moving into a residential care community, an 82-year-old client suddenly becomes highly restless, exhibits disorganized thinking, and cannot recognize the facility staff. The client's family assumes this is just the stress of the major life change. Which action should the practical nurse prioritize?

A practical nurse (PN) is reviewing psychosocial data for several clients on a medical-surgical unit. Match each client statement or behavior to the specific ego defense mechanism being demonstrated.

A practical nurse is preparing to assist a client with their lunch. The client is 48 hours postoperative following a right carotid endarterectomy and experienced a perioperative right-hemisphere ischemic stroke. This complication resulted in left-sided hemiplegia, left homonymous hemianopsia, and mild dysphagia. Which sequence of basic care and positioning actions should the nurse implement?