Tüm alıştırma soruları

While receiving evening care, a client with early-stage Alzheimer's disease points to a shadow cast by an intravenous fluid pole and frantically states, "There is a tall man standing in the corner waiting to hurt me!" Which action should the nurse take first?

During a clinical shift, a registered nurse is responsible for a patient receiving continuous hydration via a peripheral venous access device with $0.9\%$ sodium chloride. The provider orders multiple new intravenous pharmacological treatments. To maintain patient safety and adhere to standard parenteral protocols, which interventions must the nurse execute? Select all that apply.

A client is recovering on the surgical unit 48 hours after undergoing a right above-the-knee amputation. Which basic care and comfort interventions should the nurse incorporate into the client's daily routine? Select all that apply.

A community health nurse is conducting an orientation screening at a local preschool for a newly enrolled 5-year-old student. Which observed behaviors and skills would the nurse document as age-appropriate developmental milestones? Select all that apply.

A primary care clinic nurse is initiating a brief tobacco cessation intervention for a client who reports smoking one pack of cigarettes per day. Arrange the following nursing actions in the correct sequential order according to the evidence-based "5 A's" framework for treating tobacco use and dependence.

A 42-year-old female client of Ashkenazi Jewish descent presents to an ambulatory women's health clinic for a well-woman examination. The client's family pedigree reveals that her mother was diagnosed with ovarian cancer at age 52, and her maternal aunt was diagnosed with breast cancer at age 48. The client currently has no personal history of cancer. Which of the following nursing actions represents the highest priority health promotion intervention for this client?

A pediatric nurse is caring for a toddler who weighs $16 \text{ kg}$ and is receiving treatment for bacterial meningitis. The client's current temperature is $38.9^\circ\text{C}$ ($102^\circ\text{F}$), heart rate is $135 \text{ bpm}$, and respiratory rate is $28 \text{ breaths/min}$. The client has a single-lumen peripheral intravenous (IV) catheter. The healthcare provider prescribes ampicillin $500 \text{ mg}$ IV and gentamicin $2.5 \text{ mg/kg}$ IV. Both intermittent medications are scheduled to be administered at 09:00. The pharmacy supplies gentamicin in a multiple-dose vial labeled $20 \text{ mg/mL}$. Which of the following is the most appropriate action by the nurse?

A client hospitalized with a bacterial infection has a continuous peripheral intravenous (IV) infusion of normal saline. The healthcare provider prescribes a scheduled dose of IV ciprofloxacin. Which safety check is the most critical for the nurse to perform before connecting the new medication to the primary line?

A client with a long-standing history of heavy, daily alcohol consumption is admitted to the hospital. To accurately anticipate client care needs and safety risks, the nurse must understand the clinical progression of alcohol withdrawal syndrome. Arrange the following manifestations of alcohol withdrawal in the chronological order they are most likely to appear following the client's last drink.

A nurse is preparing to remove a client's non-tunneled central venous catheter (CVC). To reduce the risk of a potentially fatal air embolism, in what order should the nurse perform the following actions? Arrange the steps from first to last.

Upon returning from the laboratory, a staff member drops a glass specimen tube containing a patient's blood, which shatters on the clinic floor. The charge nurse immediately secures the area to prevent exposure. Place the following steps for managing this biohazardous spill in the correct chronological order.

A nurse is teaching a client who has left leg weakness how to ambulate safely using a straight cane. Arrange the following actions in the correct sequence from first to last to ensure a safe gait.

A gerontology nurse performs a comprehensive physical assessment on a 76-year-old client living independently in the community. Which of the following assessment findings should the nurse document as an expected physiological adaptation of senescence rather than an acute pathological process?

A home health nurse is managing the care of a client with advanced metastatic melanoma who is transitioning to the final days of life. The family expresses severe distress upon hearing the client develop noisy, rattling breathing. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

A nurse is preparing to administer a prescribed dose of cefepime 1 gram in $50\text{ mL}$ of $0.9\%$ sodium chloride intravenously over $30\text{ minutes}$ to a client with a respiratory tract infection. At what rate in $\text{mL/hr}$ should the nurse set the intravenous infusion pump? Record your answer as a whole number.

A nurse is preparing to administer 40 mEq of intravenous (IV) potassium chloride (KCl) to a client with a serum potassium level of 2.8 mEq/L (2.8 mmol/L). Which of the following actions demonstrates the safest method for administering this parenteral therapy?

A nurse at a community outreach center is speaking with a young adult client who actively injects illicit substances. The client states, "I know sharing needles is dangerous, so I only share the water, cookers, and cotton filters with my closest friends." Which response by the nurse is the most appropriate?

A 58-year-old client with end-stage cirrhosis and severe ascites is scheduled to undergo a bedside paracentesis. Which of the following nursing actions is the priority to reduce the risk of a serious complication during this procedure?

An adolescent client, aged 15, is admitted to the inpatient pediatric oncology unit for induction chemotherapy. The client expresses frustration about missing the upcoming high school homecoming dance and refuses to speak with visiting family members. Which nursing intervention best promotes the client's psychosocial development during this hospitalization?

A nurse is teaching basic mobility techniques to an older adult client who is 2 days post-operative following a right total hip arthroplasty (posterior approach). The client is preparing to transfer from a standing position using a standard walker to a sitting position in an armchair. Which instruction should the nurse provide to ensure client safety and comfort?