Tüm alıştırma soruları

A nurse is caring for a client who was recently diagnosed with hypertension. The client refuses the prescribed morning dose of an oral antihypertensive medication, stating, "My body is currently too cold, and this Western medicine is a cold treatment. It will disrupt my balance and make my condition worse." Which of the following is the most appropriate response by the nurse?

A 16-year-old client is evaluated in the emergency department for a facial laceration and bilateral fading bruises on the upper arms. The client's parent stands closely over the stretcher, repeatedly answers questions on the client's behalf, and states loudly, "If you weren't so clumsy all the time, we wouldn't be here." The client is trembling and avoids eye contact. Which of the following is the priority nursing action?

A nurse responds to a room alarm and finds that a client's intravenous antineoplastic infusion has disconnected. The pump has stopped automatically, but approximately 50 mL of the hazardous drug has splashed onto the client's intact forearm and pooled on the floor. Arrange the following nursing actions in the correct chronological sequence to safely manage this exposure and environmental spill.

A client with post-traumatic stress disorder (PTSD) experiences a sudden flashback in the unit dayroom. The client is visibly terrified, breathing rapidly, backing into a corner, and shouting, 'Stay away from me!' Arrange the following nursing interventions in the most appropriate priority sequence to manage this acute crisis, from first to last.

A client with a deep vein thrombosis has a prescription for a continuous heparin infusion at $1,200\text{ units/hr}$. The pharmacy dispenses an intravenous bag containing $25,000\text{ units}$ of heparin mixed in $250\text{ mL}$ of $5\%$ dextrose in water (D5W). At what rate should the nurse set the infusion pump? Record your answer as a whole number.

While caring for a hospitalized client, the nurse prepares to hang a scheduled intravenous (IV) antibiotic. The client already has a continuous IV drip of a different medication infusing through a single-lumen peripheral venous catheter. What is the most critical action the nurse must take before connecting the antibiotic to the Y-site?

A home health nurse is evaluating an adolescent client who requires a thoracolumbosacral orthosis (TLSO) brace for the treatment of idiopathic scoliosis. During the visit, the 14-year-old throws the brace on the floor and states, "I am not wearing this to high school. Everyone will stare at me and think I am a freak." Based on expected developmental transitions and psychosocial needs for this age group, which intervention should the nurse prioritize?

A pediatric nurse is evaluating a 4-year-old child during a routine health maintenance visit. The parents report several observations about the child's recent behavior. Which of the following parental reports should the nurse recognize as expected developmental characteristics for a child of this age? Select all that apply.

A multidisciplinary team is facilitating a morning community meeting on a behavioral health floor. One individual repeatedly interrupts peers, makes inappropriate sexual remarks, and ignores gentle verbal prompts from the staff. The tension among the other participants is visibly escalating. Which of the following is the most appropriate action by the registered nurse to secure the therapeutic milieu?

A pediatric nurse is leading a workshop for parents of school-aged children on strategies to maintain wellness and prevent the initial onset of disease. Which instructions should the nurse include in the presentation? Select all that apply.

A home health nurse suspects physical abuse while assessing a 5-year-old client who recently sustained a spiral femur fracture. The caregiver's explanation of how the injury occurred is inconsistent with the child's developmental abilities and changes multiple times during the visit. Which actions should the nurse take? Select all that apply.

A nurse is co-facilitating a group therapy session on an inpatient psychiatric unit. A client diagnosed with major depressive disorder suddenly stands up, states, "There is no point in me being here. I am just a burden to everyone," and walks toward the door. Which action by the nurse is the most appropriate?

A registered nurse is precepting a newly licensed nurse on the safe handling and disposal of hazardous and infectious materials. Which statement by the newly licensed nurse indicates a correct understanding of the facility protocols?

A nurse is providing anticipatory guidance to the caregivers of a 14-year-old client during a wellness visit. The caregivers express frustration, stating that the client has become hyper-focused on peer approval and frequently challenges family rules. Based on Erikson's theory of psychosocial development, which explanation should the nurse provide?

A night-shift nurse is caring for an older adult client with chronic obstructive pulmonary disease (COPD) who reports worsening shortness of breath and an inability to fall asleep. Which independent nursing interventions should be implemented to promote physical comfort and rest? (Select all that apply.)

A pediatric clinic nurse is preparing to assess an 18-month-old toddler arriving for a routine well-child visit. The parents have no specific concerns and state the child is active and meeting expected motor milestones. According to current evidence-based guidelines, which health screening must the nurse ensure is completed during this specific visit?

A nurse is counseling an adult client who wants to make healthier lifestyle choices to reduce the risk of cardiovascular disease. Which of the following nursing actions and recommendations are appropriate? Select all that apply.

An older adult client is receiving a continuous intravenous heparin infusion for a newly diagnosed left lower extremity deep vein thrombosis (DVT). The nurse is developing a plan of care focusing on the client's basic comfort, mobility, and safety. Which intervention is the most appropriate to include in the plan of care?

A client with terminal esophageal cancer and severe ascites is receiving continuous enteral nutrition via a newly placed percutaneous endoscopic jejunostomy (PEJ) tube. The client experiences severe orthopnea requiring upper body elevation, but reports that elevating the head of the bed by bending the mattress at the hips causes agonizing abdominal pressure and intractable nausea. Which action by the nurse best manages the enteral feeding safely while simultaneously addressing the client's competing comfort and respiratory needs?

A public health nurse is categorizing community health initiatives according to the levels of disease prevention. Which initiative should the nurse correctly identify as an example of secondary prevention?