Tüm alıştırma soruları

An electronic infusion pump is delivering a continuous infusion of 0.9% sodium chloride to a client. The healthcare provider prescribes a scheduled dose of an antibiotic to be given via intermittent intravenous piggyback (IVPB). The two solutions are compatible. Arrange the following nursing actions in the correct sequence to initiate this therapy.

A client presents to the emergency department reporting severe, crushing chest pain. The client's oxygen saturation is 88% on room air. The healthcare provider prescribes supplemental oxygen, chewable aspirin, sublingual nitroglycerin, and intravenous morphine. Arrange these interventions in the correct sequence of administration from first to last.

A nurse is caring for a client who is receiving an intravenous infusion of packed red blood cells (PRBCs). Fifteen minutes after the transfusion begins, the client reports a sudden onset of severe lower back pain, chills, and dyspnea. The nurse suspects an acute hemolytic transfusion reaction. Arrange the following nursing interventions in the correct order of priority from first to last.

A client with acute kidney injury is admitted to the progressive care unit. The client's most recent serum potassium level is $8.2 \text{ mEq/L}$ ($8.2 \text{ mmol/L}$). The bedside cardiac monitor suddenly displays a widened QRS complex and absent P waves. Arrange the following actions in the physiological priority order the nurse should perform them.

A nurse is monitoring a critically ill client who is receiving a continuous intravenous infusion of norepinephrine through a peripheral vein in the right forearm. The nurse assesses the insertion site and notes it is blanched, cold, and swollen, and the client reports severe burning pain. Arrange the following nursing interventions in the correct order of priority to mitigate tissue necrosis.

A nurse is preparing to administer a large-volume cleansing enema to a client who is experiencing severe constipation. In what order should the nurse perform the following procedural steps? (Arrange from first to last.)

A nurse enters the room of a client receiving intravenous fluids via a central venous catheter (CVC). The nurse discovers that the intravenous tubing has disconnected from the CVC hub. The client is suddenly experiencing severe dyspnea, tachycardia, and a feeling of impending doom. Arrange the following nursing actions in the correct order of priority to manage this complication.

A nurse enters the room of a client receiving continuous intravenous fluids via a central venous catheter (CVC). The nurse discovers that the IV tubing has disconnected from the catheter hub, leaving it open to the air. The client suddenly becomes tachypneic, diaphoretic, and reports severe shortness of breath. Arrange the following nursing actions in the correct priority order to mitigate the risk of further complications.

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 profuse diaphoresis above the level of the injury. The client's blood pressure is 210/110 mm Hg. Arrange the following nursing interventions in the correct order of priority from first to last.

A registered nurse is preparing to administer an intermittent bolus enteral feeding via a nasogastric (NG) tube to a client with dysphagia. Place the following steps in the correct chronological sequence from first to last.

A nurse is caring for a client with a spinal cord injury at the T4 level. The client suddenly reports a severe, throbbing headache. The nurse notes facial flushing, diaphoresis above the level of injury, and a blood pressure of 210/110 mm Hg. To reduce the risk of a severe complication, arrange the following nursing interventions in the correct sequential order.

A nurse is caring for a client admitted with pneumonia who has a continuous, compatible 0.9% sodium chloride infusion running at 75 mL/hr. The nurse is preparing to administer a prescribed intravenous (IV) push dose of dexamethasone. In which order should the nurse perform the following actions? Arrange the steps from first to last.

A nurse is preparing to discontinue a client's non-tunneled central venous catheter (CVC) located in the right subclavian vein. Place the following nursing actions in the correct chronological order to ensure safe removal and prevent complications.

A client is admitted to the emergency department with a diagnosis of severe diabetic ketoacidosis (DKA). The client is lethargic with Kussmaul respirations and a capillary blood glucose of 580 mg/dL (32.2 mmol/L). The nurse is preparing to initiate the prescribed treatment plan. In what order should the nurse implement the following actions? Arrange the interventions from highest priority to lowest priority.

A nursing team is preparing to transfer an immobile client from a bed to a stretcher using a slide board (transfer board) and a draw sheet. Place the following steps in the correct chronological order to ensure a safe transfer.

A clinical nurse is preparing to discontinue a non-tunneled central venous access device (CVAD) located in the right internal jugular vein of an adult client. To minimize the risk of a venous air embolism and promote physiological integrity, in what order should the nurse execute these interventions? Arrange the steps in the correct chronological sequence.

A nurse is caring for a client who is receiving an intravenous infusion of ceftriaxone for a severe infection. Ten minutes into the infusion, the client suddenly reports throat tightness, severe dizziness, and develops visible facial swelling. Arrange the following nursing actions in the correct order of priority.

A nurse is caring for a client with a history of heart failure who suddenly develops severe dyspnea, becomes extremely restless, and expectorates pink, frothy sputum. Arrange the following nursing actions in the correct sequence of priority from first to last.

A clinical nurse is preparing to obtain a blood specimen from an adult client's central venous access device (CVAD). To reduce the risk of central line-associated bloodstream infection (CLABSI), inaccurate laboratory results, and catheter occlusion, place the following actions in the correct chronological order.

An adult client arrives at the emergency department presenting with profound lethargy, deep and rapid Kussmaul respirations, and a fruity breath odor. Laboratory results reveal a blood glucose of 680 mg/dL (37.7 mmol/L), a serum pH of 7.15, and positive serum ketones. Arrange the following collaborative interventions in the correct sequence of priority.