Tüm alıştırma soruları

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 nurse is caring for a client who is receiving intravenous fluids through a central venous catheter. The client suddenly gasps, reports severe chest pain, and becomes extremely short of breath. The nurse notes a heart rate of 124 beats/min, a blood pressure of 82/50 mm Hg, and auscultates a loud, churning "mill-wheel" murmur over the precordium. Suspecting a venous air embolism, arrange the following nursing actions in the correct priority order.

A nurse is caring for a client with type 2 diabetes mellitus whose morning blood glucose level is $185 \text{ mg/dL}$. The healthcare provider has prescribed $10 \text{ units}$ of regular insulin and $20 \text{ units}$ of NPH insulin to be administered subcutaneously. The nurse is preparing to mix both insulins in a single syringe. Arrange the following steps in the correct sequence for this procedure.

A nurse is caring for a 62-year-old client who is 4 days post-operative following an open colon resection. While the nurse is assisting the client with coughing and deep breathing exercises, the client reports a sudden "popping" sensation in the abdomen. The nurse inspects the surgical site and observes a wound evisceration. Place the following nursing interventions in the correct order of priority to mitigate further physiological risk.

A nurse is preparing to perform open suctioning for an adult client with a tracheostomy tube. To minimize the risk of complications such as hypoxia and mucosal trauma, in what order should the nurse perform the following actions? Arrange the steps in the correct sequence.

While a nurse is changing the needleless connector caps on a 65-year-old client's right subclavian central venous catheter, the client suddenly gasps for air, reports sharp chest pain, and develops peripheral cyanosis. Recognizing the signs of a potential air embolism, in what order should the nurse perform the following emergency interventions? Arrange the steps from first priority to last priority.

A nurse is preparing to administer a unit of packed red blood cells (PRBCs) to a client with symptomatic anemia. Arrange the following actions in the correct chronological sequence to ensure safe administration.

A nurse is caring for a client who is receiving a transfusion of packed red blood cells. Fifteen minutes after the transfusion begins, the client suddenly reports severe lower back pain, chills, and dyspnea. Place the following nursing interventions in the correct order of priority from first to last.

A registered nurse is preparing to apply knee-length anti-embolism stockings to a client who is on strict bed rest. Place the following nursing actions in the correct order from first to last. (All steps are required.)

A charge nurse at a skilled rehabilitation center responds to a room where an 84-year-old client is experiencing a sudden, acute onset of severe confusion and hyperactivity, which is a stark change from their baseline. Arrange the following nursing actions in the priority order they should be implemented.

A nurse is caring for a client newly admitted to the intensive care unit with diabetic ketoacidosis (DKA). The client is lethargic and exhibits deep, rapid respirations. Initial laboratory results reveal a serum blood glucose of 680 mg/dL (37.7 mmol/L), an arterial pH of 7.12, and a serum potassium of 2.7 mEq/L (2.7 mmol/L). In what order should the nurse implement the collaborative interventions? Arrange the actions from first to last.

A nurse in an outpatient clinic is conducting a clinical risk evaluation for a 75-year-old community-dwelling client to promote healthy aging and prevent fall-related injuries. Arrange the following nursing actions in the correct sequential order according to the nursing process.

A nurse is preparing to administer a large-volume cleansing enema to an adult client who is experiencing severe constipation. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence.

During the administration of a first dose of intravenous ceftriaxone, the client suddenly grasps their neck, stating their throat is closing, and severe expiratory wheezing is noted. Place the following crisis management actions in the correct priority sequence from first to last.

A nurse is caring for a client who is two days postoperative following an open exploratory laparotomy. The client coughs forcefully and reports a sudden "popping" sensation in the abdomen. The nurse assesses the surgical site and observes an evisceration. In which order should the nurse perform the following actions to reduce the client's risk of complications? Arrange the actions in chronological order from first to last.

A nurse accidentally drops a specimen tube, resulting in a small blood spill on the floor of the clinical utility room. Arrange the following actions in the correct sequence for safely cleaning up this biohazardous material.

An oncology nurse is planning care for four assigned clients after receiving the morning handoff report. Based on the principles of prioritization, arrange the clients in the order the nurse should assess them, from first to last.

A nurse is preparing a client for discharge. While reviewing the printed discharge packet with the client in their room, the nurse realizes that another client's sensitive laboratory results were mistakenly stapled into the packet. Arrange the actions the nurse should take in the correct priority order.

A nurse on a medical-surgical unit realizes they have just administered a full dose of an immediate-release antihypertensive medication to the wrong client. Arrange the following actions in the priority order the nurse should perform them. (Place the first and most urgent action at the top, and the final administrative action at the bottom.)