Tüm alıştırma soruları

A nurse is preparing to administer a large-volume cleansing enema to a client experiencing severe constipation. Arrange the following steps in the correct sequence from first to last. All options must be used.

A nurse is preparing to remove a client's non-tunneled central venous catheter (CVC). To minimize the risk of a potential air embolism and ensure client safety, arrange the following nursing actions in the correct chronological sequence.

A nurse enters a client's room and discovers that the intravenous tubing has accidentally disconnected from the client's central venous catheter (CVC) hub. The client is suddenly dyspneic, coughing, tachypneic, and grasping their chest. In which order should the nurse perform the following actions to minimize the client's risk for complications? (Arrange the actions from first to last.)

A nurse is removing a central venous catheter (CVC) from a client's right subclavian vein. Immediately after the catheter is withdrawn, the client suddenly gasps for air, becomes profoundly cyanotic, and reports severe chest pain. In which order should the nurse perform the following emergency interventions? Arrange the actions from first (highest priority) to last (lowest priority).

A nurse is caring for a client with a T4 spinal cord injury. The client suddenly reports a severe, pounding headache. The nurse observes profuse diaphoresis above the level of the spinal injury, facial flushing, and a blood pressure of 214/114 mm Hg. In what order should the nurse perform the following interventions? Arrange the actions from first to last.

A nurse is preparing to administer an intermittent bolus enteral feeding to a client via a gastrostomy tube. Place the following nursing actions in the correct chronological order.

A client receiving a packed red blood cell (PRBC) transfusion suddenly reports severe lower back pain, chills, and shortness of breath. Suspecting an acute hemolytic transfusion reaction, arrange the following nursing actions in the correct priority order to mitigate further risk to the client.

A multidisciplinary team is preparing to remove a pleural chest tube from a client whose lung has fully re-expanded. As the nurse assisting with the procedure, arrange the following actions in the correct chronological sequence to minimize the risk of complications. All options must be used.

A nurse is preparing to administer a prescribed oral medication to a client who has a nasogastric (NG) tube connected to low intermittent wall suction. The medication has been appropriately crushed and dissolved in sterile water. Arrange the following nursing actions in the correct chronological order.

A nurse in the emergency department is caring for a client who is admitted with severe diabetic ketoacidosis (DKA). The client is lethargic, has a blood glucose of $680\text{ mg/dL}$ ($37.7\text{ mmol/L}$), and an arterial pH of $7.12$. Arrange the following collaborative and nursing interventions in the correct chronological order of implementation.

A nurse is preparing to administer a prescribed intravenous (IV) push medication to a client. The medication is incompatible with the client's continuous primary IV fluid infusion. The client has a single peripheral IV line. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence from first to last.

A nurse is monitoring an adult client who is receiving a unit of packed red blood cells (PRBCs). Fifteen minutes into the infusion, the client suddenly reports severe lower back pain, chills, and shortness of breath. To reduce the risk of severe physiological complications, arrange the following nursing actions in the correct priority sequence. (Arrange the first action at the top and the final action at the bottom).

A client on a medical-surgical unit is receiving continuous intravenous fluids through a central venous catheter. The client suddenly reports severe chest pain and shortness of breath. The nurse notes that the intravenous tubing has become disconnected from the catheter hub. Arrange the following nursing actions in the most appropriate order of priority to reduce the client's risk of further physiological complications.

A nurse is providing care for a client with a T4 spinal cord injury. The client suddenly reports a severe, pounding headache and blurred vision. Assessment reveals a blood pressure of 210/115 mm Hg, a heart rate of 54 beats/minute, and profuse diaphoresis above the level of the spinal lesion. Arrange the following nursing actions in the correct order of priority.

A nurse is preparing to draw a blood specimen from a client's multi-lumen central venous catheter (CVC). The selected lumen is currently capped and not actively infusing any fluids. In what order should the nurse perform the following actions to safely obtain the specimen, prevent infection, and maintain catheter patency? Arrange the steps in the correct chronological sequence.

A nurse enters the room of a client being treated for a spontaneous pneumothorax and observes that the client's chest tube has accidentally dislodged completely from the pleural space. The client is visibly anxious and tachypneic. Arrange the following nursing actions in the correct priority order from first to last.

A nurse is preparing to administer a unit of packed red blood cells (PRBCs) to a client with severe anemia. In what order should the nurse perform the following actions? Arrange the steps in the correct chronological sequence.

While assisting a client who had abdominal surgery three days ago, the client coughs forcefully and suddenly reports feeling a tearing sensation. Upon inspection, the nurse observes a portion of the small intestine protruding through the open surgical wound. What is the correct priority sequence of nursing actions? Place the interventions in the correct order from first to last.

A nurse is preparing to perform open airway suctioning for an adult client with a tracheostomy tube. To reduce the risk of procedure-related complications such as hypoxia and mucosal trauma, arrange the following actions in the correct chronological sequence.

During morning rounds, a client who underwent a surgical tracheostomy two days prior begins coughing violently, completely expelling the tracheostomy tube. The client immediately exhibits severe stridor, and the pulse oximeter alarms at 81%. Arrange the critical nursing interventions in the correct chronological sequence to manage this acute airway emergency.