Tüm alıştırma soruları

A nurse is preparing to administer an intravenous (IV) push medication through a client's peripheral IV saline lock. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence.

A nurse is receiving a client who just underwent a bedside thoracentesis for a large right-sided pleural effusion. Which of the following nursing actions are essential to monitor and reduce the risk of post-procedure complications? Select all that apply.

A nurse is monitoring a client with severe hepatic cirrhosis who is undergoing a large-volume therapeutic paracentesis. After 3.5 liters of ascitic fluid have been drained, the client reports sudden dizziness and nausea. The client's heart rate increases from 82 to 124 beats per minute, and the blood pressure drops from 130/84 mm Hg to 92/58 mm Hg. Which action should the nurse take first to reduce the risk of further physiological deterioration?

The nurse is preparing to obtain a capillary blood glucose measurement for a client with diabetes mellitus. To ensure accurate results and reduce the risk of infection, in what order should the nurse perform the following actions? Arrange the steps in the correct sequence.

A nurse is preparing to administer an intermittent secondary intravenous (IV) piggyback medication using a new sterile administration set. The client is currently receiving a continuous primary IV fluid infusion via an electronic pump. Arrange the following actions in the correct sequence.

A nurse is receiving a client who has just returned to the clinical unit after undergoing a diagnostic lumbar puncture. The client reports the onset of a mild headache. Which of the following positioning interventions should the nurse implement?

A 52-year-old client is recovering on the medical-surgical unit 48 hours after an elective orthopedic surgery. The client suddenly becomes highly agitated, visibly diaphoretic, and exhibits a coarse bilateral hand tremor. Current vital signs reveal a heart rate of 124 bpm, blood pressure of 168/98 mm Hg, and temperature of 100.2°F (37.9°C). The client's spouse arrives and states, "I forgot to bring the home pill bottles, including the clonazepam that my spouse takes three times every day." Which of the following is the priority nursing action?

A school nurse is finalizing a semester-long health initiative for high school adolescents aged 14 to 18. The initiative incorporates multiple interventions categorized by the levels of disease prevention. Which of the following planned activities should the nurse correctly identify as primary prevention strategies? Select all that apply.

An older adult client with advanced Parkinson's disease is admitted for the management of severe dysphagia and a new sacral pressure injury. The client is receiving continuous enteral nutrition via a gastrostomy tube. During the shift, the client becomes restless, repeatedly attempts to pull on their medical tubing, and experiences sudden new-onset urinary incontinence. Which basic care and comfort interventions should the nurse include in the client's plan of care? Select all that apply.

A nurse is planning care for a client who is postoperative following a right total hip arthroplasty via a posterior approach. Which action regarding the client's positioning and basic care is correct?

During morning rounds, a client who underwent a right total hip arthroplasty with a posterior approach the previous day informs the nurse of the need to have a bowel movement. The client is currently restricted to bed rest. Which intervention should the nurse implement to safely facilitate elimination?

A family practice nurse is providing education to a client regarding lifestyle choices and primary prevention strategies to reduce the risk of skin cancer. Which statement by the client indicates a correct understanding of the teaching?

A 14-day-old neonate is admitted to the neonatal intensive care unit with suspected bacterial meningitis. The neonate has a single peripheral intravenous (IV) catheter infusing Lactated Ringer's solution at $10 \text{ mL/hr}$. The healthcare provider prescribes a stat dose of intravenous ceftriaxone $50 \text{ mg/kg}$. Which of the following is the priority nursing action?

A client with a complete T4 spinal cord injury suddenly reports a severe, pounding headache and profound nasal congestion. The nurse observes profuse diaphoresis above the level of the injury and a suddenly elevated blood pressure of 218/114 mm Hg. Arrange the following nursing actions in the priority order they should be performed. (Place the first action at the top and the final action at the bottom.)

While conducting a shift assessment on a surgical unit, the nurse evaluates a client who is 6 hours post-operative following a total abdominal hysterectomy. The electronic health record shows the client's blood pressure was 134/76 mm Hg two hours ago, but it is currently 112/88 mm Hg. The apical pulse has risen from 82 to 116 beats per minute, and respirations are 26 per minute. The client's skin is cool to the touch, and they report feeling unusually anxious. What is the priority nursing intervention?

A 71-year-old client with a history of early-stage vascular dementia is 4 hours post-percutaneous coronary intervention (PCI) via the right femoral artery. The client suddenly becomes highly agitated, reports vague lower abdominal pressure, and repeatedly attempts to sit upright and pull at the groin dressing. The client has not voided since before the procedure. Which action should the nurse take to safely address the client's basic care and comfort needs?

A client on a medical-surgical unit is receiving a continuous peripheral infusion of 0.9% sodium chloride with added potassium chloride. The client's electronic health record indicates that a scheduled dose of intravenous famotidine is currently due. Which step is essential for the nurse to take before proceeding with the medication administration?

A client is 4 hours postoperative following a bowel resection. The surgical dressing is saturated with bright red blood, and the hemovac drain contains 300 mL of fresh sanguineous fluid. Which assessment findings indicate the client is developing early hypovolemic shock? Select all that apply.

During afternoon rounding on the cardiovascular progressive care unit, the charge nurse evaluates the status of a client who underwent a right femoral percutaneous coronary intervention (PCI) two hours ago. Which specific finding necessitates an immediate interruption by the charge nurse to mitigate a severe physiological risk?

A nurse is preparing to discontinue an intravenous (IV) infusion of paclitaxel, an antineoplastic medication, for a client. The infusion has finished and the IV bag is empty. Which action by the nurse demonstrates the correct protocol for handling these hazardous materials?