NUR 200 FINAL EXAM 2026 PATIENT CARE
AND CLINICAL PRACTICE SET ANSWERS FULL
SOLUTION
◉ Nursing Role in Blood Transfusion.
Answer: -Pretransfusion assessment; Informed consent, Listen to
heart and lungs for peripheral edema
-pt education, stay with pt for 15 minutes after transfusion starts
◉ Blood Transfusion Side Effects.
Answer: -Fever
-Lower back pain
-Nausea
-Vomiting
-Pain @ IV site
◉ Febrile Nonhemolytic reaction.
Answer: Pt develops fever, chills, sweats, and aches
-Up to 4 hours after transfusion
◉ acute hemolytic reaction.
,Answer: develops within the first 15 mins
s/s: chills, feverm lower back pain, tachycardia, tachypnea, and
hypotension
◉ Delayed hemolytic reaction.
Answer: 1-14 days after transfusion. Rh antibodies leading to
destruction of donor RBCs
◉ Allergic Reaction to blood transfusion.
Answer: Caused by hypersensitivity. S/S include itching, fever,
anaphylactic shock
-Treat with antihistamines and epi pen
◉ Bacterial Contamination with blood transfusion.
Answer: treat with fluids and antibiotics
◉ Circulatory overload related to blood transfusion.
Answer: -Crackles, JVD, edema, hypertension
Treat with diuretics, slow down circulation
◉ Long term complications of blood transfusions.
,Answer: -Iron overload
-Hepatitis C
-Infection
◉ Osteomyelitis.
Answer: inflammation of bone and bone marrow
-redness, oozing, swelling, odorous drainage
◉ Osteomyelitis Management.
Answer: -IV antibiotics for 6 weels
-PO antibiotics after IV for 3 months
◉ Who is at risk for osteomyelitis?.
Answer: -Diabetics and bariatrics
-Undiagnosed soft tissue trauma
-Bed bound pts
-Immobile pts
◉ Causes of osteomyelitis.
Answer: -Fractures
-Surgical contamination
-blood borne infection
, -soft tissue infection that extends into bone
◉ Nursing Goals and Interventions for Osteomyelitis.
Answer: -RICE
-Muscle relaxants
-splints
-NSAIDs
-Pain management
◉ Septic Arthritis Manifestations.
Answer: -Infection in surrounding joint
-Elevated WBC, ESR, and creatnine
-Examine synovial fluid for infection and crystallization
-Symptoms similar to gout
◉ Nursing Interventions for Septic Arthritis.
Answer: -ABx therapy
-Analgesics for pain
-RICE and modified activity level
-Knee imobilizer
-Arthroscopic joint site washing
-Wound care, medication regimen, follow treatment plan
AND CLINICAL PRACTICE SET ANSWERS FULL
SOLUTION
◉ Nursing Role in Blood Transfusion.
Answer: -Pretransfusion assessment; Informed consent, Listen to
heart and lungs for peripheral edema
-pt education, stay with pt for 15 minutes after transfusion starts
◉ Blood Transfusion Side Effects.
Answer: -Fever
-Lower back pain
-Nausea
-Vomiting
-Pain @ IV site
◉ Febrile Nonhemolytic reaction.
Answer: Pt develops fever, chills, sweats, and aches
-Up to 4 hours after transfusion
◉ acute hemolytic reaction.
,Answer: develops within the first 15 mins
s/s: chills, feverm lower back pain, tachycardia, tachypnea, and
hypotension
◉ Delayed hemolytic reaction.
Answer: 1-14 days after transfusion. Rh antibodies leading to
destruction of donor RBCs
◉ Allergic Reaction to blood transfusion.
Answer: Caused by hypersensitivity. S/S include itching, fever,
anaphylactic shock
-Treat with antihistamines and epi pen
◉ Bacterial Contamination with blood transfusion.
Answer: treat with fluids and antibiotics
◉ Circulatory overload related to blood transfusion.
Answer: -Crackles, JVD, edema, hypertension
Treat with diuretics, slow down circulation
◉ Long term complications of blood transfusions.
,Answer: -Iron overload
-Hepatitis C
-Infection
◉ Osteomyelitis.
Answer: inflammation of bone and bone marrow
-redness, oozing, swelling, odorous drainage
◉ Osteomyelitis Management.
Answer: -IV antibiotics for 6 weels
-PO antibiotics after IV for 3 months
◉ Who is at risk for osteomyelitis?.
Answer: -Diabetics and bariatrics
-Undiagnosed soft tissue trauma
-Bed bound pts
-Immobile pts
◉ Causes of osteomyelitis.
Answer: -Fractures
-Surgical contamination
-blood borne infection
, -soft tissue infection that extends into bone
◉ Nursing Goals and Interventions for Osteomyelitis.
Answer: -RICE
-Muscle relaxants
-splints
-NSAIDs
-Pain management
◉ Septic Arthritis Manifestations.
Answer: -Infection in surrounding joint
-Elevated WBC, ESR, and creatnine
-Examine synovial fluid for infection and crystallization
-Symptoms similar to gout
◉ Nursing Interventions for Septic Arthritis.
Answer: -ABx therapy
-Analgesics for pain
-RICE and modified activity level
-Knee imobilizer
-Arthroscopic joint site washing
-Wound care, medication regimen, follow treatment plan
