🐸🔥Diagnosis Decoded: What’s the TRUE Root?

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🐸🔥Diagnosis Decoded: What’s the TRUE Root?


Froggy Jumps 🐸🔥Diagnosis Decoded: What’s the TRUE Root?Online version Quick decision triage quiz by RNPRPEPBESTIE 1 A client with SIADH receiving 3% hypertonic saline has an increase in sodium from 118 to 126 within three hours and is now vomiting and tremorous. Which action should the nurse take immediately? a Stop hypertonic saline and notify the provider b Increase fluid restriction c Administer furosemide 2 A client receiving frequent albuterol nebulizers reports tremors, chest tightness, and a heart rate of 152. Which client statement indicates the need for further teaching? a “This chest tightness is probably from overusing the breathing treatments.” b “I feel shaky whenever I get these frequent nebulizers.” c “My fast heartbeat means my asthma is finally opening up.” 3 A client receiving total parenteral nutrition develops fever, hypotension, tachycardia, and rigors. Which nursing action is incorrect and requires correction? a Starting broad-spectrum antibiotics after cultures are drawn b Drawing blood cultures from central line and peripheral site c Continuing TPN while waiting for culture results 4 A post-operative client on PCA morphine becomes acutely restless and tachycardic, with a respiratory rate of 32, oxygen saturation of 88%, and a low end-tidal CO₂. What is the priority action? a Apply high-flow oxygen and prepare the client for CT pulmonary angiography. b Stop the PCA and administer naloxone to reverse opioid effects. c Encourage the client to use an incentive spirometer. 5 A heart failure client on a continuous furosemide infusion becomes confused, hypotensive, and has flat neck veins. Which action should the nurse take first? a Increase diuretic dose b Administer isotonic fluid bolus c Decrease diuretic rate and reassess MAP and perfusion 6 A client with chronic kidney disease who received IV contrast now has a potassium level of 6.0, peaked T waves, confusion, and urine output of 15 mL/hr. What is the priority intervention? a Start sodium bicarbonate infusion b Administer IV calcium gluconate for membrane stabilization c Increase IV fluids to flush contrast 7 TBI client with ventriculostomy becomes febrile, hypertensive/bradycardic, vomiting; CSF cloudy. What next? a Clamp ventriculostomy b Notify provider and prepare for immediate CSF culture/testing c Lower the HOB 8 A client with chronic heart failure receiving a PRBC transfusion develops dyspnea, rising blood pressure, new crackles, and an S₃ heart sound. Which action should the nurse take first? a Stop the transfusion and administer diphenhydramine b Slow the transfusion, raise the HOB, and give supplemental oxygen c Bolus normal saline to improve renal perfusion 9 A client taking warfarin presents with severe headache, vomiting, and an INR of 4.9. Which nursing action would require immediate intervention by the charge nurse? a Giving opioids for pain relief before imaging b Preparing for vitamin K administration c Requesting STAT head CT 10 A client on an insulin infusion and IV metoprolol becomes restless, sweaty, tachycardic, and anxious, though the glucose reading is 118 mg/dL. Which action should the nurse take? a Give IV dextrose for suspected neuroglycopenia despite normal glucose b Decrease insulin rate and recheck glucose in 15 minutes c Stop metoprolol and reassess symptoms

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🐸🔥Diagnosis Decoded: What’s the TRUE Root?

Froggy Jumps

About this activity

Created by

Download the paper version to play

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🐸🔥Diagnosis Decoded: What’s the TRUE Root?Online version

by RNPRPEPBESTIE

A client with SIADH receiving 3% hypertonic saline has an increase in sodium from 118 to 126 within three hours and is now vomiting and tremorous. Which action should the nurse take immediately?

A client receiving frequent albuterol nebulizers reports tremors, chest tightness, and a heart rate of 152. Which client statement indicates the need for further teaching?

A client receiving total parenteral nutrition develops fever, hypotension, tachycardia, and rigors. Which nursing action is incorrect and requires correction?

A post-operative client on PCA morphine becomes acutely restless and tachycardic, with a respiratory rate of 32, oxygen saturation of 88%, and a low end-tidal CO₂. What is the priority action?

A heart failure client on a continuous furosemide infusion becomes confused, hypotensive, and has flat neck veins. Which action should the nurse take first?

A client with chronic kidney disease who received IV contrast now has a potassium level of 6.0, peaked T waves, confusion, and urine output of 15 mL/hr. What is the priority intervention?

TBI client with ventriculostomy becomes febrile, hypertensive/bradycardic, vomiting; CSF cloudy. What next?

A client with chronic heart failure receiving a PRBC transfusion develops dyspnea, rising blood pressure, new crackles, and an S₃ heart sound. Which action should the nurse take first?

A client taking warfarin presents with severe headache, vomiting, and an INR of 4.9. Which nursing action would require immediate intervention by the charge nurse?

A client on an insulin infusion and IV metoprolol becomes restless, sweaty, tachycardic, and anxious, though the glucose reading is 118 mg/dL. Which action should the nurse take?