Tüm alıştırma soruları

A nurse is caring for a 75-year-old client with severe bilateral macular degeneration who is struggling to navigate their meal tray due to visual impairment. The client is alert and oriented with no history of swallowing difficulties. Which of the following nursing actions is most appropriate to promote the client's independence and adequate nutritional intake?

A nurse is caring for an oliguric client diagnosed with an acute kidney injury. The laboratory reports a stat serum potassium level of $8.2$ mEq/L ($8.2$ mmol/L). The continuous bedside cardiac monitor suddenly displays widening QRS complexes and absent P waves. Arrange the following collaborative interventions in the priority sequence they should be implemented. (Place the most immediate life-saving action first and the final evaluative action last.)

A nurse is caring for a client who is 2 days postoperative following open abdominal surgery. The client coughs forcefully, and the nurse observes that the surgical incision has completely separated with loops of bowel protruding from the wound. In what order should the nurse perform the following actions? Arrange the actions in the correct sequence from first to last.

A nurse is preparing to administer a continuous intravenous infusion of dobutamine to a client with severe heart failure. The healthcare provider prescribes dobutamine at $5\text{ mcg/kg/min}$. The client weighs $176\text{ lbs}$. The pharmacy supplies a premixed intravenous bag containing $500\text{ mg}$ of dobutamine in $250\text{ mL}$ of $5\%\text{ dextrose in water}$ ($D_5W$). What rate, in $\text{mL/hr}$, should the nurse program into the infusion pump to deliver the prescribed dose?

A nurse is preparing to administer a mixed dose of NPH insulin and regular insulin to a client with diabetes mellitus. Arrange the steps of the medication preparation procedure in the correct chronological order.

A nurse is evaluating a client at 35 weeks of gestation who is receiving a continuous intravenous infusion of magnesium sulfate for severe preeclampsia. During the hourly assessment, the nurse notes a respiratory rate of 10 breaths/min, absent patellar deep tendon reflexes, and a urine output of 12 mL over the past hour. Which of the following actions should the nurse take? (Select all that apply)

A young adult client arrives at the emergency department lethargic and exhibiting shallow breathing at a rate of $7$ breaths per minute following a suspected narcotic overdose. The laboratory reports the following arterial blood gas values: pH $7.26$, $PaCO_2$ $58$ mm Hg, and $HCO_3^-$ $24$ mEq/L. Based on these findings, which acid-base imbalance is the client experiencing?

A nurse enters a client's room and discovers a small fire in the wastebasket. The client is resting in bed, receiving intravenous fluids, and is physically unharmed but highly anxious. According to standard internal disaster protocols, arrange the nurse's immediate actions in the correct priority sequence.

A nurse is assessing a client who has experienced significant blood loss following a traumatic injury. Which of the following assessment findings should the nurse identify as early indicators of hypovolemic shock? (Select all that apply.)

A 48-year-old client is 12 hours post-transsphenoidal hypophysectomy for a pituitary adenoma. The nurse is evaluating the client's current clinical data and physical assessment. Which of the following findings require immediate follow-up by the nurse? Select all that apply.

A client with a systemic fungal infection is prescribed an intravenous infusion of amphotericin B. The client currently has a continuous intravenous infusion of 0.9% sodium chloride running through a single-lumen central venous catheter. Which of the following actions should the nurse take to safely administer the prescribed medication?

A nurse is caring for a client with severe acute pancreatitis in the intensive care unit. Over the past two hours, the nurse notes the client's heart rate has increased from 92 to 124 bpm, and blood pressure has changed from 120/78 mm Hg to 106/84 mm Hg. Urine output for the past hour was 15 mL. The client's respiratory rate is 28/min. Arterial blood gas (ABG) results are pH 7.29, $PaCO_2$ 30 mm Hg, $HCO_3^-$ 14 mEq/L, and $PaO_2$ 94 mm Hg on room air. Based on these findings, which of the following interventions should the nurse anticipate implementing? Select all that apply.

A nurse is assessing a client who underwent a partial hepatectomy 6 hours ago. Which of the following assessment findings should alert the nurse to the development of early (compensatory) hypovolemic shock? Select all that apply.

A nurse is preparing to administer an intravenous infusion of amphotericin B deoxycholate to a client with a severe systemic fungal infection. Upon reviewing the client's medical record, laboratory results, and the medication preparation, which of the following findings requires the nurse to withhold the infusion and contact the healthcare provider?

An agricultural transport vehicle carrying toxic organophosphate pesticides overturns on a highway near a local hospital. Ten minutes later, four exposed individuals who bypassed emergency medical services arrive on foot at the emergency department (ED) main entrance, requesting immediate help. Which of the following actions should the charge nurse take? Select all that apply.

A nurse is caring for a client who sustained a complete spinal cord transection at the T2 level 18 hours ago. Which of the following concurrent clinical indicators should alert the nurse that the client is experiencing neurogenic shock? Select all that apply.

A mechanically ventilated client in the intensive care unit requires continuous sedation. The healthcare provider's order reads: dexmedetomidine $0.8\text{ mcg/kg/hr}$ continuous IV infusion. The client weighs $154\text{ lb}$. The pharmacy dispenses a pre-mixed solution containing $200\text{ mcg}$ of dexmedetomidine in $50\text{ mL}$ of $0.9\%$ sodium chloride.

At what rate, in $\text{mL/hr}$, should the infusion pump be programmed? Record your answer using a whole number.

A nurse is planning positioning and mobility interventions for a client who is recovering from a right total hip arthroplasty with a posterior approach. Which of the following actions should the nurse include in the client's plan of care?

The nurse is receiving the shift report for four clients on a progressive care step-down unit. Which client should the nurse assess FIRST?

A nurse is caring for a client who sustained a complete cervical spinal cord injury at the C6 level two months ago. The client suddenly reports an intense, pounding headache and blurred vision. The nurse notes profound diaphoresis on the client's face and neck, nasal congestion, and a blood pressure reading of 214/112 mm Hg. Arrange the following nursing interventions in the correct priority order from first to last to mitigate the risk of severe complications.