Tüm alıştırma soruları

A client is recovering from a subtotal thyroidectomy performed earlier in the day. During routine data collection, the practical nurse notes the client's heart rate is 108 beats/min and blood pressure is 102/64 mm Hg. The client states, "My neck feels very tight, and it is getting a little hard to swallow." Which action should the practical nurse take immediately?

A client arrives at the medical-surgical unit after undergoing a percutaneous liver biopsy. The registered nurse has completed the initial admission assessment and delegates ongoing care to the licensed practical nurse. Which actions are essential for the practical nurse to perform to minimize the risk of complications? Select all that apply.

A practical nurse is reinforcing teaching for a client who is non-weight-bearing on the right leg and is learning to ascend stairs using crutches without a handrail. In what order should the practical nurse instruct the client to perform the following actions? Arrange the actions in the correct chronological sequence.

During morning rounds, a practical nurse (PN) evaluates a client who had an open appendectomy 6 hours earlier. The baseline vital signs recorded upon transfer from the post-anesthesia care unit were a blood pressure of 122/78 mm Hg and a heart rate of 76 beats/min. The current vital signs show a blood pressure of 100/64 mm Hg and a heart rate of 108 beats/min. The client complains of feeling slightly dizzy. Which action should the PN take first?

A practical nurse (PN) is reviewing the medication administration record for an adult client with a history of heart failure. The client is scheduled to receive oral digoxin and oral furosemide. Additionally, a new prescription for intravenous (IV) push furosemide was just added to the chart. The client's morning vital signs include a heart rate of $56\text{ beats/min}$ and a blood pressure of $118/74\text{ mm Hg}$. The morning serum potassium level is $3.1\text{ mEq/L}$. Which of the following actions should the PN take? Select all that apply.

A practical nurse (PN) is collecting data on an 82-year-old client who is receiving intravenous antibiotics for severe pyelonephritis. Which of the following assessment findings should the PN identify as early indicators of systemic decompensation and potential septic shock that require immediate notification to the registered nurse (RN)? Select all that apply.

A practical nurse is caring for a client with atrial fibrillation who is prescribed a daily dose of oral warfarin. The client is also scheduled to receive a seasonal influenza vaccine. Upon reviewing the morning laboratory results, the nurse notes an international normalized ratio (INR) of $6.5$. Which of the following actions is the priority for the practical nurse?

During the evening shift, a practical nurse answers a call light for a client who underwent a subtotal thyroidectomy earlier that morning. The client is experiencing mild incisional aching and requests assistance with getting comfortable for sleep. Which nursing action is the priority for ensuring this client's safety and comfort?

A practical nurse (PN) is preparing to perform open tracheostomy suctioning for a stable adult client. In what order should the PN perform the following actions to reduce the risk of hypoxia and airway trauma? Arrange the steps in the correct chronological sequence.

During afternoon rounds, a 71-year-old client hospitalized for bacterial pneumonia suddenly becomes restless, rubs their chest, and asks to speak with a deceased relative. The client's family states the client was completely lucid just an hour ago. Current vital signs reveal a heart rate of 114 beats per minute, a respiratory rate of 26 breaths per minute, and a blood pressure of 102/60 mm Hg. Which action should the nurse prioritize?

While walking past a client's room, a practical nurse observes a client who is receiving continuous enteral tube feeding suddenly coughing vigorously and struggling to breathe. Which sequence of actions should the practical nurse implement? Arrange the actions in the correct order from first to last.

Following a right-sided carotid endarterectomy, a client requires careful positioning to ensure physiological safety and comfort. Which basic care actions should the practical nurse take to support this client? Select all that apply.

A licensed practical nurse (LPN) is caring for a client who is 6 hours postoperative following a total abdominal hysterectomy. The client reports feeling dizzy. The LPN assesses the client and notes a blood pressure of 96/58 mm Hg and a heart rate of 112 beats/minute. The client's preoperative baseline blood pressure was 132/74 mm Hg and heart rate was 76 beats/minute. Which of the following actions should the LPN take next?

A practical nurse (PN) is reviewing the morning laboratory results for several assigned clients on a medical-surgical unit. Which of the following laboratory findings indicate an immediate risk for complications and should be reported to the registered nurse (RN) without delay? Select all that apply.

A practical nurse is caring for a 78-year-old client who was admitted with severe gastroenteritis and prolonged vomiting. The client is receiving continuous intravenous fluids. Which assessment findings should the nurse identify as early indications that the client is developing hypovolemic shock? Select all that apply.

A practical nurse is caring for an adult client who is prescribed daily oral furosemide and a daily oral potassium chloride supplement. While reviewing the morning laboratory results, the nurse notes a serum potassium level of 6.2 mEq/L (mmol/L). Which of the following is the most appropriate action for the nurse to take?

An older adult client admitted with community-acquired pneumonia has a scheduled dose of intravenous levofloxacin. The medication arrives from the pharmacy as a $500 \text{ mg}$ dose premixed in a $100 \text{ mL}$ bag of $5\% \text{ Dextrose}$ in Water ($\text{D}_5\text{W}$). According to the administration instructions, the medication must infuse steadily over $90$ minutes.

At what rate, in $\text{mL/hr}$, should the infusion pump be programmed?

Record answer to the nearest tenth. Do not include units in answer.

A licensed practical nurse (LPN) enters a client's room and observes them beginning to experience a generalized tonic-clonic seizure while sitting in a bedside armchair. Arrange the following nursing actions in the correct sequence of priority.

A practical nurse (PN) is preparing to collect a sterile urine specimen for culture and sensitivity from a client who has a closed indwelling urinary catheter system. After performing hand hygiene and donning clean gloves, in what order should the PN perform the following actions to reduce the risk of infection and ensure an accurate laboratory sample? (Arrange the steps in the correct sequence from first to last.)

Following a surgical repair of a fractured tibia 24 hours ago, a 65-year-old client suddenly develops severe restlessness and acute confusion. The client's respiratory rate has increased to 24 breaths per minute. Which action should the practical nurse take first?