Tüm alıştırma soruları

An older adult client is $24\text{ hours}$ postoperative following an open cholecystectomy. The client is prescribed scheduled subcutaneous dalteparin for venous thromboembolism prophylaxis. Morning laboratory results reveal a hemoglobin decrease from $14.1\text{ g/dL}$ ($141\text{ g/L}$) to $10.2\text{ g/dL}$ ($102\text{ g/L}$). During morning rounds, the client appears restless. The automated vital signs are: temperature $98.6^\circ\text{F}$ ($37.0^\circ\text{C}$), heart rate $116\text{ beats/min}$, respiratory rate $22\text{ breaths/min}$, and blood pressure $98/62\text{ mmHg}$. The registered nurse (RN) directs the practical nurse to administer the scheduled dalteparin. Which action should the practical nurse take?

A practical nurse is caring for a client with heart failure who receives enteral nutrition and medications via a percutaneous endoscopic gastrostomy (PEG) tube. The client's current weight is $73\text{ kg}$. The health care provider prescribes a maintenance dose of digoxin oral solution at $6\text{ mcg/kg}$ daily. The pharmacy dispenses digoxin liquid with a concentration of $0.05\text{ mg/mL}$. Prior to administration, the nurse notes a regular apical pulse of $68\text{ beats/min}$ and a serum potassium level of $4.3\text{ mEq/L}$. How many milliliters will the nurse administer? Record answer to the nearest tenth. Do not include units in answer.

A practical nurse is managing care for multiple clients on an acute medical-surgical unit. Which of the following independent or collaborative actions by the practical nurse demonstrate the correct application of risk reduction principles? Select all that apply.

A practical nurse is caring for a client who has a T4 spinal cord injury. The client suddenly reports a severe, pounding headache. The nurse notes profuse diaphoresis above the level of the injury and measures a blood pressure of 210/110 mm Hg. In which order should the nurse perform the following actions? (Arrange the items in the correct sequence, starting with the most immediate priority).

A practical nurse is reviewing a developmental questionnaire completed by the caregiver of a 3-year-old client in a pediatric clinic. Which reported finding should the nurse identify as a delay in expected developmental milestones that requires reporting to the registered nurse?

An 80-year-old client with a history of mild cognitive impairment and chronic bronchitis is admitted for a suspected urinary tract infection. Upon entering the room, the practical nurse observes the client is highly restless, picking at the bedsheets, and speaking incoherently. Current vital signs are: temperature 99.1°F (37.3°C), heart rate 112 beats/min, respiratory rate 26 breaths/min, blood pressure 102/60 mm Hg, and oxygen saturation 89% on room air. Which action should the practical nurse take first?

A client is receiving continuous nasogastric (NG) suctioning for a small bowel obstruction. While reviewing the morning electronic health record, the practical nurse (PN) notes a serum potassium level of $2.8 \text{ mEq/L}$ ($2.8 \text{ mmol/L}$) and a current apical pulse of $105 \text{ beats/min}$. Which action should the PN take first?

While gathering health history data at an outpatient wellness clinic, a practical nurse (PN) speaks with a client seeking to manage weight and support heart health. The client explains, "My weekdays are packed, so I grab fast food on the go. On weekends, I finally have time to cook the cultural meals I grew up with." Which statement by the PN is the best response?

A client is admitted to a private room under airborne precautions. On the third day of isolation, the client becomes extremely anxious and reports hearing whispering voices and seeing dark shadows moving across the walls. Arrange the practical nurse's interventions in the priority order of implementation. (Place the first action at the top and the last action at the bottom.)

A practical nurse (PN) is preparing to administer a scheduled oral antihypertensive medication. The barcode scanner on the medication cart is temporarily broken. Which action is the most appropriate for the PN to take before administering the medication?

A practical nurse (PN) is caring for a client who is $18$ hours postoperative following a partial bowel resection. The client is scheduled to receive a routine dose of oral furosemide for a history of heart failure. The client's admission baseline blood pressure was $142/86\text{ mmHg}$. The current vital signs are blood pressure $98/64\text{ mmHg}$, heart rate $108\text{ beats per minute}$, and respiratory rate $20\text{ breaths per minute}$. The morning comprehensive metabolic panel indicates a serum potassium level of $2.8\text{ mEq/L}$ ($2.8\text{ mmol/L}$). Which action should the PN take?

An uncircumcised adult client requires assistance with personal hygiene while on strict bed rest. In what sequence should the practical nurse execute the steps for male perineal care? Arrange the actions from first to last.

A practical nurse (PN) is assigned to care for a client who is receiving a continuous intravenous (IV) heparin infusion for a deep vein thrombosis. The primary health care provider prescribes a new order for oral warfarin. Which action regarding medication administration is appropriate for the PN to perform?

A resident in an intermediate care facility is recovering from a colonoscopy with multiple polypectomies performed late yesterday afternoon. During the $0600$ rounds, the resident reports feeling "very thirsty and a little dizzy."

Assessment Findings:

Which action is the priority for the practical nurse?

A practical nurse is preparing to provide a complete bed bath for an adult client who is on strict bed rest. In which order should the nurse wash the following body areas? Arrange the actions from first to last.

A practical nurse is preparing to administer the morning dose of a prescribed oral antibiotic to a pediatric client. The child weighs $35\text{ lb } 4\text{ oz}$. The primary health care provider has prescribed cefdinir $14\text{ mg/kg/day}$ PO to be administered in two equally divided doses. The pharmacy dispenses cefdinir oral suspension with a concentration of $125\text{ mg}/5\text{ mL}$. How many $\text{mL}$ should the nurse administer for the morning dose? (Record the answer to the nearest tenth. Do not include units in your answer.)

A practical nurse is providing care for a client who sustained a T3 spinal cord injury two months ago. The client suddenly reports a severe, pounding headache and exhibits profuse diaphoresis and facial flushing. Arrange the following nursing actions in the correct priority sequence.

A practical nurse is assigned to care for a client who is recovering from a recent right-sided mastectomy. Which of the following positioning techniques should the nurse implement to promote comfort and prevent swelling in the affected arm?

The healthcare provider prescribes knee-high graduated compression stockings for a client who is immobile. The practical nurse prepares to apply the stockings at the beginning of the morning shift. Arrange the following actions in the correct chronological sequence.

A practical nurse (PN) is assisting a registered nurse (RN) in caring for a client who reports sudden, severe chest pain. The healthcare provider issues a verbal order for "nitroglycerin 0.4 mg sublingually immediately and morphine sulfate 2 mg IV push." The RN prepares both medications, hands the morphine syringe to the PN, and states, "Give this IV push while I give the nitroglycerin." Which of the following is the most appropriate action by the PN?