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A nurse enters the room of a client receiving internal radiation therapy (brachytherapy) for cervical cancer and discovers the radioactive implant has dislodged and is resting on the bed linens. Place the following nursing actions in the correct priority sequence to safely manage this hazard and minimize radiation exposure.
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A nurse enters a client's room and discovers a small fire in the trash can. Arrange the following actions in the correct priority sequence according to standard facility emergency response protocols.
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An older adult client with severe delirium is continuously attempting to pull out a nasogastric tube and intravenous lines. After least restrictive measures have failed, the primary health care provider prescribes bilateral soft limb restraints. In what order should the nurse perform the following actions to ensure client safety?
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While conducting hourly rounds, a nurse evaluates a client who sustained a T4 spinal cord injury three weeks ago. The client suddenly reports a severe, throbbing headache and blurred vision. The nurse notes profuse diaphoresis above the level of the injury and a blood pressure of 215/115 mm Hg. Arrange the following clinical interventions in the prioritized sequence they should be performed.
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A nurse is preparing to contact the healthcare provider regarding a client who is 2 days postoperative following a right total knee arthroplasty and suddenly develops acute dyspnea, tachycardia, and a dropping oxygen saturation. The nurse uses the SBAR (Situation, Background, Assessment, Recommendation) communication tool. Arrange the following statements in the correct chronological order as they should be delivered during the report.
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A nurse is preparing to transfer a client who has right-sided hemiparesis from the bed to a wheelchair. To prevent injury and ensure a safe transfer, arrange the following nursing actions in the correct chronological sequence.
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A nurse is responding to a small paper fire in the staff break room. The fire alarm has been activated, and all personnel have been safely evacuated. The nurse retrieves a nearby fire extinguisher to contain the flames. Arrange the steps for operating the fire extinguisher in the correct priority sequence.
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After performing open tracheostomy suctioning on a client diagnosed with pulmonary tuberculosis and methicillin-resistant Staphylococcus aureus (MRSA) of the sputum, a registered nurse prepares to leave the negative-pressure isolation room. Arrange the following steps for removing personal protective equipment (PPE) in the proper chronological sequence.
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A pediatric emergency nurse is assigned to care for four newly admitted clients. Arrange the order in which the nurse should evaluate these clients, from highest priority (first) to lowest priority (last).
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While conducting hourly rounds, a nurse enters a client's room and observes smoke and small flames coming from an electrical outlet behind the bed. The client is bedbound and receiving supplemental oxygen. Arrange the following emergency actions in the order the nurse should perform them.
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A registered nurse (RN) is supervising an unlicensed assistive personnel (UAP) on a medical-surgical unit. The RN walks into a client's room and observes the UAP using an unsafe technique to transfer a client with right-sided hemiparesis from the bed to a wheelchair. In what order should the RN take the following actions? Arrange the actions in the correct sequence from first to last.
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An older adult client admitted with severe pneumonia is exhibiting acute confusion and repeatedly pulling at their peripheral intravenous (IV) line. Arrange the following nursing interventions in the correct order of escalation, from the least restrictive measure to the most restrictive.
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An acute care nurse is preparing to enter the airborne infection isolation room of a client with suspected severe acute respiratory syndrome (SARS) who also requires contact precautions due to excessive infectious secretions. Arrange the following steps for donning personal protective equipment (PPE) in the correct sequence from first to last.
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A nurse assumes care for four clients on an adult medical-surgical unit. Based on the principles of prioritization, arrange the clients in the order they should be assessed, from highest priority to lowest priority.
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A registered nurse enters a client's room and finds the client lying on the floor near the bathroom. The client states, 'I slipped and fell on my way to the toilet.' Arrange the following nursing interventions in the correct sequence of priority, from first to last.
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An 82-year-old client is brought to the emergency department by their adult child. During the triage assessment, the nurse observes bilateral patterned bruising on the client's upper arms and notes signs of severe dehydration. The adult child is agitated, pacing the room, and complaining loudly about the burden of providing care for the client. Arrange the following nursing actions in the priority order they should be performed.
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A clinic nurse is providing education to a 20-year-old male client regarding the early detection of cancer. The nurse is explaining how to perform a monthly testicular self-examination (TSE). In what order should the nurse instruct the client to perform the following steps? Arrange the instructions in the correct sequential order.
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A nurse is implementing the evidence-based "5 A's" model to help a client quit smoking. Arrange the following nursing actions in the correct chronological order from first to last.
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A public health nurse is preparing to conduct a comprehensive health history for a newly enrolled community member who does not speak the local dominant language. In which order should the nurse perform the following actions to facilitate a culturally competent and legally sound encounter? Arrange the actions in chronological order from first to last.
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A clinic nurse is initiating a comprehensive smoking cessation intervention for a client newly diagnosed with chronic obstructive pulmonary disease (COPD). According to the evidence-based '5 A's' behavioral change framework, arrange the following nursing actions in the correct sequential order from first to last.
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