Tüm alıştırma soruları

A nurse is caring for a client with major depressive disorder. The client avoids eye contact and states, "I am nothing but a burden to my family. They would be so much better off without me." Which of the following nursing actions are appropriate? (Select all that apply.)

An intensive care nurse is preparing to initiate a continuous intravenous infusion of milrinone for a client experiencing cardiogenic shock.

The client's admission weight is $80$ kg. The prescribed dose is $0.5$ mcg/kg/min. The pharmacy has provided a premixed bag containing $20$ mg of milrinone in $100$ mL of $5\%$ dextrose in water ($D_5W$).

Calculate the required infusion pump setting in mL/hr. (Record your answer as a whole number).

A nurse is assessing a 15-year-old client who is 26 weeks pregnant and recently moved into a foster home. The client states, "I don't need anyone's help. I am going to drop out of high school, get my own apartment, and raise this baby completely by myself." Which response by the nurse is the most appropriate to assess the client's support system?

A registered nurse is performing a comprehensive cardiovascular assessment on a client with a history of heart failure. Arrange the following physical assessment techniques in the correct procedural order from first to last.

A nurse is preparing for the discharge of a client who has right-sided hemiparesis and expressive aphasia following a cerebrovascular accident (CVA). The client's spouse, who is the primary caregiver, works full-time outside the home. Which of the following nursing actions are appropriate to ensure an adequate support system is in place? Select all that apply.

A 54-year-old client is admitted to the intensive care unit with acute respiratory failure and is initiated on bilevel positive airway pressure (BiPAP) therapy. The client is diaphoretic, tachycardic, and extremely agitated. The client repeatedly attempts to pull the tight-fitting mask off their face, gasping between breaths, "I can't... breathe... with this... on! I'm... suffocating!" Which of the following is the most therapeutic nursing response?

An oncology client arrives at the outpatient infusion clinic to receive an intravenous antibiotic. The client has an implanted central venous access device (port) that is currently de-accessed. Place the nursing actions for accessing and preparing the port in the correct chronological sequence.

A client with advanced cancer has a single-lumen peripherally inserted central catheter (PICC). A primary infusion of 0.9% sodium chloride is running at 50 mL/hr, and a continuous infusion of hydromorphone for severe, intractable pain is connected via a Y-site to the primary line. The nurse needs to administer a scheduled dose of intravenous vancomycin over 90 minutes. A drug reference indicates that vancomycin is physically incompatible with hydromorphone. Which of the following is the most appropriate nursing action?

A triage nurse in an urgent care clinic is evaluating an older adult client with a documented history of severe emphysema. The client presents with sudden, localized right-sided abdominal pain and new-onset acute confusion. Which approach to the physical examination demonstrates the most accurate application of advanced assessment techniques and clinical reasoning?

While assigned to the intensive care unit, a nurse observes the spouse of a client who recently suffered a massive myocardial infarction. The spouse is pacing rapidly in the hallway and suddenly shouts at the unlicensed assistive personnel (UAP), 'You are completely incompetent! You forgot to empty the trash, and you are purposefully neglecting my partner!' Which of the following is the priority nursing action to address the spouse's behavior?

A nurse is preparing to perform a focused abdominal assessment on a client who presents to the emergency department reporting sharp left lower quadrant (LLQ) abdominal pain. In which sequence should the nurse perform the following assessment techniques? (Arrange the actions in the correct chronological order.)

A nurse is planning care for a client newly diagnosed with conversion disorder. The client developed sudden bilateral lower extremity paralysis shortly after witnessing a severe motor vehicle collision. Extensive diagnostic testing has ruled out any physiological etiology. Which of the following nursing interventions are appropriate to include in the plan of care? Select all that apply.

A client who has just received a diagnosis of a chronic illness is visibly agitated, pacing the room, and states, "I do not know how I am going to manage this. My life is over." Which of the following responses by the nurse demonstrate therapeutic communication? Select all that apply.

An occupational health nurse is conducting a follow-up assessment on an employee who returned to work 6 weeks ago after the sudden death of their spouse in a traumatic accident. Over the past month, the employee has reported severe insomnia, frequent crying spells, and difficulty concentrating on work tasks. During today's visit, the employee appears remarkably relaxed, hands the nurse a prized vintage watch stating, "I want you to have this; I really won't be needing it anymore," and says, "I've finally figured out how to make all this pain stop." Which of the following is the priority nursing action?

A nurse is speaking with the parents of an 8-year-old child who has recently received a terminal prognosis. The parents are visibly distressed and express feelings of profound helplessness regarding the situation. Which of the following responses by the nurse demonstrate appropriate therapeutic communication for this family? Select all that apply.

A triage nurse is evaluating a 76-year-old client presenting from an assisted living facility with a rigid, distended abdomen and a sudden, acute change in mental status. When implementing the physical assessment for this client, which action by the nurse is correct?

A pediatric client is prescribed ibuprofen $200$ mg by mouth for a fever. The pharmacy dispenses an ibuprofen oral suspension labeled $100$ mg/$5$ mL. How many milliliters will the nurse administer to the client for this single dose?

A nurse is initiating care for a client who is experiencing an acute situational crisis. Arrange the following nursing actions in the correct chronological order of priority, from first to last.

A client recovering from a recent colostomy placement turns away during a dressing change and states, "I feel like a monster. My body is completely ruined." Which statement by the nurse demonstrates the most therapeutic communication?

A client diagnosed with borderline personality disorder approaches the nurse's station with several fresh, superficial horizontal lacerations on their left forearm. The client appears calm and states, "I just felt so empty inside; I needed to do this to feel something real." What is the nurse's priority and most therapeutic intervention?