Protect the Patient: Risk Check

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Nursing scenario questions

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Protect the Patient: Risk Check


Froggy Jumps Protect the Patient: Risk CheckVersión en línea Nursing scenario questions por RNPRPEPBESTIE 1 A client with atrial fibrillation is receiving a heparin infusion. The aPTT is 110 seconds. The provider writes new orders. Which order requires immediate clarification? a Increase heparin infusion rate by 2 units/kg/hr due to clot risk b Hold heparin infusion and repeat aPTT in 1 hour c Administer protamine sulfate IV as prescribed 2 A postpartum client 2 hours after vaginal delivery has a boggy fundus and increased lochia. The nurse reviews current care. Which action requires immediate follow-up? a Placing the client in a supine position with legs elevated b Assisting the client to empty her bladder c Massaging the fundus until firm 3 A client admitted for major depressive disorder expresses passive thoughts of death. The nurse observes current care on the unit. Which action requires immediate follow-up? a Encouraging the client to attend group therapy sessions b Asking direct questions about thoughts of self-harm c Assigning the client to a private room away from others 4 A client with a femur fracture is in Buck’s traction. The nurse reviews the setup during rounding. Which finding requires immediate follow-up? a Leg maintained in neutral alignment with slight flexion b Ropes moving freely through the pulleys c Weights resting on the floor beside the bed 5 A 4-year-old is prescribed oral amoxicillin for otitis media. The nurse observes medication administration. Which action requires immediate follow-up? a Using a kitchen spoon to measure the medication dose b Mixing the medication with a small amount of applesauce c Allowing the child to choose a preferred flavor for the medication 6 A client with an NG tube is receiving medications. The nurse reviews medication administration. Which action requires immediate follow-up? a Verifying tube placement prior to medication administration b Flushing the tube with 30 mL of water before and after meds c Crushing an extended-release medication before administration 7 A client with acute agitation is placed in restraints after attempting to harm staff. The nurse reviews current care. Which action requires immediate follow-up? a Securing restraints tightly to prevent movement during agitation b Releasing one restraint at a time for range of motion every 2 hours c Obtaining a provider order for restraints after application 8 A client is receiving a unit of packed RBCs. Fifteen minutes after initiation, the client reports chills and back pain. The nurse reviews current actions. Which action requires immediate follow-up? a Stopping the transfusion and maintaining IV access with saline b Slowing the transfusion rate and continuing to monitor c Notifying the provider of the client’s symptoms 9 A client with hyperparathyroidism is preparing for discharge. The nurse reviews the client’s statements. Which statement requires immediate follow-up? a "I’ll start taking calcium supplements daily to strengthen my bones." b "I’ll increase my fluid intake to help protect my kidneys." c "I’ll stay active to help reduce bone loss." 10 A client with glaucoma is reviewing home care instructions. The nurse evaluates the client’s understanding. Which statement requires immediate follow-up? a "I will avoid straining when having a bowel movement." b "I will use my prescribed eye drops every day." c "I will hold my breath when lifting heavy objects." 11 A client with a pneumothorax has a chest tube in place. The nurse reviews new provider orders. Which order requires immediate clarification? a Maintain the drainage system below the level of the chest b Apply continuous wall suction to the chest drainage system c Clamp the chest tube during routine repositioning of the client

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Protect the Patient: Risk Check

Froggy Jumps

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Froggy Jumps

Protect the Patient: Risk CheckVersión en línea

por RNPRPEPBESTIE

A client with atrial fibrillation is receiving a heparin infusion. The aPTT is 110 seconds. The provider writes new orders. Which order requires immediate clarification?

A postpartum client 2 hours after vaginal delivery has a boggy fundus and increased lochia. The nurse reviews current care. Which action requires immediate follow-up?

A client admitted for major depressive disorder expresses passive thoughts of death. The nurse observes current care on the unit. Which action requires immediate follow-up?

A client with a femur fracture is in Buck’s traction. The nurse reviews the setup during rounding. Which finding requires immediate follow-up?

A 4-year-old is prescribed oral amoxicillin for otitis media. The nurse observes medication administration. Which action requires immediate follow-up?

A client with an NG tube is receiving medications. The nurse reviews medication administration. Which action requires immediate follow-up?

A client with acute agitation is placed in restraints after attempting to harm staff. The nurse reviews current care. Which action requires immediate follow-up?

A client is receiving a unit of packed RBCs. Fifteen minutes after initiation, the client reports chills and back pain. The nurse reviews current actions. Which action requires immediate follow-up?

A client with hyperparathyroidism is preparing for discharge. The nurse reviews the client’s statements. Which statement requires immediate follow-up?

A client with glaucoma is reviewing home care instructions. The nurse evaluates the client’s understanding. Which statement requires immediate follow-up?

A client with a pneumothorax has a chest tube in place. The nurse reviews new provider orders. Which order requires immediate clarification?