Tüm alıştırma soruları

A nurse leading a wellness seminar at a local community center is discussing the different levels of disease prevention with a group of middle-aged adults. Which of the following examples provided by the nurse accurately represent secondary prevention? (Select all that apply.)

A pediatric client with otitis media is prescribed amoxicillin $250 \text{ mg}$ by mouth every $8$ hours. The pharmacy dispenses an oral suspension labeled $125 \text{ mg} / 5 \text{ mL}$. Based on this information, how many milliliters ($\text{mL}$) should the nurse administer for each individual dose?

A community health nurse is conducting an initial in-home assessment for an octogenarian who recently relocated to live with their adult children. The family shares several observations about the client's health. Which of the following findings should the nurse document as expected physiological changes of aging? (Select all that apply.)

A nurse at a community health fair is educating a healthy 45-year-old client about lifestyle modifications for cardiovascular health. The client, whose parents both have hypertension, asks for strategies to avoid developing the condition. Which response by the nurse is most appropriate?

A nurse is monitoring a client who is receiving a transfusion of packed red blood cells. Ten minutes after the transfusion begins, the client reports sudden chills, severe lower back pain, and shortness of breath. Arrange the following nursing actions in the correct priority order to manage this situation from first to last.

A nurse is caring for a client with a T4 spinal cord injury. The client suddenly reports a severe, pounding headache, and the nurse notes profound facial flushing and diaphoresis above the level of the injury. The client's current blood pressure is 218/114 mm Hg. Arrange the following nursing interventions in the priority order they should be performed, from first to last.

A nurse in an ophthalmology clinic is teaching an older adult client how to independently administer prescribed glaucoma eye drops at home. Arrange the steps of this self-care procedure in the correct chronological sequence.

A nurse is preparing to administer an intermittent intravenous (IV) antibiotic piggyback to a client who is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following nursing actions are required for safe administration? Select all that apply.

A nurse is providing care for a client who has just returned to the nursing unit following a lumbar puncture. Which of the following actions should the nurse take to reduce the risk of post-procedure complications?

A 68-year-old client is admitted to the medical unit with suspected Neisseria meningitidis. The client is experiencing acute delirium, severe photophobia, and is repeatedly attempting to climb over the bed rails. Which nursing action represents the safest and most appropriate plan of care?

A client in septic shock is receiving a continuous intravenous infusion of norepinephrine. The medication is formulated as $4 \text{ mg}$ of norepinephrine in $250 \text{ mL}$ of $5\%$ dextrose in water ($\text{D}_5\text{W}$) and is currently infusing via a peripheral intravenous line at $15 \text{ mL/hr}$. The client's mean arterial pressure (MAP) drops to $52 \text{ mm Hg}$. The healthcare provider prescribes an immediate dose titration to $8 \text{ mcg/min}$. During the assessment, the nurse observes that the peripheral intravenous insertion site is cool, pale, and edematous. Which of the following is the priority nursing action?

A registered nurse is developing a plan of care for an older adult client who is on strict bed rest due to a severe exacerbation of rheumatoid arthritis. The client has recently developed urinary incontinence and exhibits extremely dry, itchy skin on the upper extremities. Which of the following nursing interventions should be included in the basic care and comfort plan? Select all that apply.

A nurse is facilitating a health education seminar for active older adults at a local senior center. During an open discussion, a 72-year-old participant shares several personal observations about their health over the past year. Which statement by the participant describes an expected, normal adaptation of the aging process?

A nurse is preparing to transfer a client who has left-sided hemiparesis from the bed to a wheelchair. In which order should the nurse perform the following actions? (Arrange the steps from first to last.)

A healthcare provider prescribes a continuous intravenous (IV) infusion of aminophylline at a rate of $0.5 \text{ mg/kg/hr}$ for a client experiencing a severe exacerbation of asthma. The client weighs $75 \text{ kg}$. The pharmacy supplies an IV bag containing aminophylline $500 \text{ mg}$ in $250 \text{ mL}$ of $0.9\% \text{ sodium chloride}$. At what rate, in $\text{mL/hr}$, should the nurse set the IV infusion pump? Record your answer rounding to the nearest tenth.

A nurse preceptor is observing a newly licensed nurse prepare and administer parenteral medications. Which of the following actions by the newly licensed nurse indicate a safety hazard and require the preceptor to intervene? Select all that apply.

While conducting hourly rounds, a nurse observes that the intravenous administration set has completely disconnected from a client's central venous catheter hub. The client abruptly exhibits severe dyspnea, a dry cough, and grasps their chest in distress. In which sequence must the nurse execute the following interventions? (Arrange the actions in order of clinical priority, from first to last.)

A registered nurse in a university student health center is initiating a skin cancer primary prevention intervention for a newly enrolled young adult. In what order should the nurse implement the following actions? Arrange them from first to last.

A registered nurse is analyzing the electronic fetal monitoring data for a laboring primigravida at 39 weeks gestation. The physiological data indicates a baseline fetal heart rate of 145 beats per minute accompanied by moderate baseline variability. Intermittently, the tracing exhibits visually abrupt decreases in the fetal heart rate, plunging 45 beats per minute below the baseline. These specific episodes reach their nadir in 15 seconds and fully recover to baseline within 45 seconds. The occurrences appear sporadically and do not maintain a consistent temporal relationship with the onset or peak of the recorded uterine contractions. Based on this physiological data, which immediate intervention should the nurse implement?

A client presents to the emergency department with a severe asthma exacerbation. The initial assessment reveals tachypnea with a respiratory rate of $34$ breaths/min and diffuse wheezing. An initial arterial blood gas (ABG) shows a pH of $7.52$, $PaCO_2$ of $28$ mm Hg, and $HCO_3^-$ of $24$ mEq/L. Two hours later, the client appears drowsy, wheezing is diminished, and the respiratory rate has decreased to $14$ breaths/min. A repeat ABG reveals a pH of $7.31$, $PaCO_2$ of $56$ mm Hg, and $HCO_3^-$ of $24$ mEq/L. Based on these findings, what is the most accurate clinical conclusion?