Tüm alıştırma soruları

A nurse is caring for a client with a history of heart failure who suddenly develops severe dyspnea, extreme anxiety, and a cough producing pink, frothy sputum. The nurse suspects acute pulmonary edema. In what order should the nurse perform the following actions? (Arrange the actions in the correct sequence from first to last)

A registered nurse (RN) is prioritizing care and delegating tasks to a licensed practical nurse (LPN/VN) and an unlicensed assistive personnel (UAP) on a medical-surgical unit. Place the following actions in the order of priority the RN should perform them, from highest to lowest priority.

A progressive care unit nurse is responding to a client with a history of Graves' disease who has abruptly developed severe delirium, a temperature of $40.6^\circ\text{C}$ ($105.1^\circ\text{F}$), and a heart rate of 178 beats per minute. Determine the priority sequence in which the nurse should implement the following collaborative interventions.

A client is in the preoperative holding area for an elective hernia repair. As the nurse prepares to administer a prescribed preoperative sedative, the client states, 'I have changed my mind. I do not want to go through with this surgery.' Arrange the following nursing actions in the correct chronological sequence from first to last.

A registered nurse (RN) is preparing to delegate a routine clinical task to an unlicensed assistive personnel (UAP). Arrange the following steps of the delegation process in the correct chronological order.

A nurse is performing a sterile vaginal examination on a client in active labor who has just experienced a spontaneous rupture of membranes. The nurse palpates a soft, pulsating mass in the vaginal vault. The electronic fetal monitor demonstrates severe, recurrent variable decelerations. Arrange the following nursing actions in the priority order they should be performed.

A nurse is independently discontinuing a right subclavian central venous catheter for a 64-year-old client recovering from severe pneumonia. Immediately upon removal of the catheter, the client gasps, becomes intensely diaphoretic, and reports crushing chest pain. Suspecting a central line-associated air embolism, in what order should the nurse perform the following interventions? Arrange from first action to last.

While responding to a high-pressure equipment alarm on a respiratory step-down unit, the charge nurse enters a client's room and observes a float registered nurse (RN) from the psychiatric unit attempting to silence a continuous positive airway pressure (CPAP) machine. The client is visibly dyspneic, diaphoretic, and has not yet been assessed by the float RN. Arrange the following actions the charge nurse should take in the correct priority order.

A nurse is performing an assessment on a client who is 1 hour postpartum following a spontaneous vaginal birth. The nurse observes a sudden, heavy gush of vaginal bleeding. Upon palpation, the uterus is boggy and displaced to the right of the umbilicus. Arrange the following nursing interventions in the priority order of execution.

A nurse is assessing a client who is receiving a continuous peripheral intravenous (IV) infusion of norepinephrine. The nurse notes that the IV insertion site is blanched, cool to the touch, and swollen. The client reports a severe burning sensation at the site. Arrange the following nursing actions in the exact sequence they should be performed, from first to last.

A nurse is preparing to mix and administer regular insulin and NPH insulin in a single syringe for a client with diabetes mellitus. Arrange the following steps in the correct chronological order to ensure safe and effective medication preparation.

A client with a seizure disorder is currently receiving a continuous infusion of 5% dextrose in water (D5W) through a single peripheral IV catheter. The healthcare provider prescribes an immediate dose of intravenous phenytoin. Knowing that phenytoin forms a precipitate when mixed with dextrose solutions, arrange the following nursing actions in the correct chronological sequence to safely deliver the medication.

A client with acute kidney injury is exhibiting profound muscle weakness. The bedside cardiac monitor suddenly displays a widened QRS complex and tall, peaked T waves. The laboratory reports a stat serum potassium level of $7.8\text{ mEq/L}$. The healthcare provider has prescribed several urgent interventions. Arrange the following pharmacological actions in the priority sequence the nurse must implement them.

A nurse is preparing to administer an intravenous piggyback (IVPB) dose of a prescribed antibiotic through a client's continuous primary intravenous infusion of 0.9% sodium chloride. In what order should the nurse perform the following actions? Arrange the steps from first to last.

A clinic nurse is providing education to new parents about the sequence of expected motor skill progression during early childhood development. Place the following fine motor milestones in the chronological order in which they are typically achieved. Arrange the items from the earliest acquired skill to the latest.

A nurse is preparing to enter the room of a client who requires contact and droplet precautions. In what order should the nurse don (put on) the required personal protective equipment (PPE)? Arrange the steps in the correct sequence from first to last.

A nurse is preparing to enter the room of a client who requires both contact and droplet precautions. Arrange the following steps for donning personal protective equipment (PPE) in the correct chronological order, starting with the first action.

A nurse is preparing to obtain a blood specimen for laboratory testing from a client's central venous catheter (CVC). A continuous intravenous infusion is currently running through the lumen. Arrange the following steps in the correct chronological order for safely drawing the blood specimen using the discard method.

A client with a complete transection spinal cord injury at the T4 level suddenly reports a severe, pounding headache and blurred vision. Upon evaluation, profuse diaphoresis is noted above the level of the injury alongside a blood pressure reading of 215/115 mm Hg. Arrange the following nursing actions in the priority order they should be performed, from first to last.

A nurse is caring for a client who is receiving total parenteral nutrition via a central venous catheter. The nurse discovers that the catheter tubing has become disconnected. The client suddenly develops severe dyspnea, a cough, chest pain, and extreme tachycardia. Arrange the following nursing interventions in the most appropriate order of priority.