Tüm alıştırma soruları

A client on the cardiac step-down unit suddenly develops severe dyspnea, audible wheezing, and expectorates pink, frothy sputum. The vital signs monitor shows an oxygen saturation of 84% on room air and a heart rate of 122 beats/min. Arrange the following nursing interventions in the most appropriate sequential order from first to last.

A nurse is preparing to perform a routine scheduled dressing change for a client's central venous catheter (CVC). In what order should the nurse perform the following actions? Arrange the steps in the correct chronological sequence.

A nurse is administering a prescribed intravenous medication to a client via an electronic infusion pump. Shortly after the medication is initiated, the client suddenly reports a severe headache, a tight feeling in the chest, and dizziness. The nurse observes intense facial flushing and notes a rapid, irregular pulse. Recognizing these manifestations as speed shock, in what chronological order should the nurse perform the following interventions? Arrange the actions from first to last.

A nurse is preparing to witness a client's signature on an informed consent document for a scheduled lumbar laminectomy. The nurse places the document on the bedside table and hands the client a pen. The client hesitates and states, "The doctor said this will fix my back, but I am terrified of being paralyzed. Maybe I should just try physical therapy instead." Arrange the following nursing actions in the correct chronological sequence.

A nurse is caring for a client who is 15 minutes into a packed red blood cell (PRBC) transfusion. The client suddenly reports acute lower back pain, severe shortness of breath, and a feeling of impending doom. Arrange the following nursing interventions in the correct prioritized sequence. (Place the first action at the top and the final action at the bottom).

A client is scheduled for a below-the-knee amputation due to severe and progressive peripheral arterial disease. The client signed the informed consent document the previous day. Today, as the nurse approaches to administer the prescribed preoperative intravenous midazolam, the client withdraws their arm and states, "I cannot go through with this. I would rather die with my leg attached." Arrange the following nursing actions in the correct order of priority from first to last.

A client with severe alcohol withdrawal syndrome is experiencing tactile hallucinations and repeatedly attempting to pull out their continuous bladder irrigation (CBI) catheter. After alternative de-escalation measures have failed, the primary healthcare provider prescribes bilateral soft wrist restraints. Arrange the following nursing actions in the correct chronological order.

A nurse discovers a small fire in a client's wastebasket. In which order should the nurse perform the following actions? Arrange the steps from first to last.

A nurse is caring for a client receiving a packed red blood cell (PRBC) transfusion. Fifteen minutes into the transfusion, the client reports sudden chills, severe lower back pain, and shortness of breath. In what chronological order should the nurse perform the following actions to reduce the risk of further physiological deterioration? Arrange the actions from first to last.

A nurse is inserting a nasogastric (NG) tube for enteral nutrition in an alert adult client. Arrange the following procedural steps in the exact chronological sequence to ensure safe insertion and minimize the risk of tracheal intubation.

A nurse is caring for a client who is receiving intravenous fluids through a central venous catheter. The client suddenly develops severe dyspnea, chest pain, and a feeling of impending doom. The nurse suspects a central line-associated air embolism. In what order should the nurse take the following actions to reduce the risk of a life-threatening complication? Arrange the steps from first to last.

A client with end-stage renal disease misses two dialysis sessions and presents to the emergency department with profound muscle weakness. The initial serum potassium level is $7.6\text{ mEq/L}$ ($7.6\text{ mmol/L}$), and the 12-lead electrocardiogram (ECG) reveals absent P waves, a widened QRS complex, and tall, peaked T waves. The healthcare provider prescribes several emergency interventions. Arrange the following nursing actions in the correct priority order from first to last.

A nurse is preparing to discontinue a non-tunneled central venous catheter (CVC) located in the right subclavian vein of a 68-year-old client who has completed a course of intravenous antibiotics for osteomyelitis. To strictly reduce the risk of a life-threatening physiological complication during this procedure, in what order should the nurse perform the following actions? Arrange the steps from first to last.

A nurse is preparing to administer an intermittent intravenous (IV) piggyback medication using the backpriming method through an existing continuous primary IV infusion. Assuming hand hygiene and medication verification have been completed, place the following steps in the correct sequence for setting up the IV piggyback.

A nurse is preparing a client with ascites for a bedside abdominal paracentesis. In which order should the nurse perform the following actions to ensure the client's safety and reduce the risk of physiological complications? Arrange the actions in the correct chronological sequence.

A nurse is assisting with a vaginal delivery. Following the delivery of the fetal head, the head retracts tightly against the maternal perineum. Arrange the following nursing actions in the correct sequence of priority.

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

An acute care facility experiences a sudden hospital-wide cyberattack, resulting in a complete failure of the electronic health record (EHR) system. The incident command center declares a system downtime emergency. Arrange the following response actions in the correct chronological sequence.

A nurse is preparing to administer an intermittent intravenous (IV) piggyback antibiotic to a client. The client currently has a continuous primary IV infusion of 0.9% sodium chloride running via an electronic infusion pump. In what order should the nurse perform the following actions? Arrange the steps from first to last.

A nurse enters the room of a client receiving internal radiation therapy (brachytherapy) for cervical cancer. The nurse discovers that the intracavitary radioactive applicator has accidentally dislodged and is resting on the client's bed linens. To safely reduce the risk of harmful radiation exposure, arrange the following nursing actions in the correct priority sequence.