COMPLEX ADULT -LECTURE NOTES FOR THE EXAM 1 (COVERS MATERIALS LEARNED IN CLASS FOR SUCCESS)

Q1. A nurse is monitoring a client who is receiving 2 units packed RBC’s.Which of the following manifestations indicates a hemolytic transfusion Back pain Bradycardia Chills,low back pain,fever,hypotension and tachycardia(Hemolytic transfusions).Hypertension Q.2.A nurse is preparing to administer a unit of packed RBC’s to a client.Which of the followingactions should the nurse plan to take? Use Y tubing with 0.9% sodium chloride when administering the transfusion Iniate venous access with a 21-gauge needle Obtain the client’s first set of vital signs1 hr after initiating the transfusion Adminster the unit of packed RBC’S over 1 hr. Q.3.A nurse in the emergency department admitted a client is having a myocardial infarction.The client has been placed on the heart monitor.Which of the following electrocardiogram strips is indicative of myocardial infarction?. Strip A Strip B Strip C Strip D Q.4.A nurse is assessing a client for a positive chvostek’s sign following a thyroidectomy.Which of the following areas on the client’s head should the nurse tap to assess the client for tetany? (You will find hot spots to select in the artwork below.Select only the hot spot that corresponds toyour answer.)somewhere by the ear Q.5.A nurse is planning care for a client who is receiving heparin IV to treat a pulmonary embolism.Which of the following medications should the nurse plan to have at the bedside? Vitamin k Flumazenil lOMoAR cPSD| Protamine-sulfate Acetylcysteine Q.7.A nurse is reviewing the medical record of a client who is 1 day postoperative followingappendectomy.Which of the following findings should the nurse report to the provider? Reports pain of 4on a scale from 0 to 10 when coughing WBC count 8,400/mm3 Serosanguineous exudate noted on dressing change Hemoglobin 10 mg/dl Q.8.A nurse is teaching the family of a client who has Alzheimers disease about caring for thisclient at home.Which of the following instructions should the nurse include Keep the client’s bedroom dark at night Place a large face clock in the client’s bedroom Hang a monthly calender in the client’s bedroom Cover electrical outlets in the client’s home with tape A nurse is teaching a group of clients who have cancer about radiation therapy.Which of the following activities should the nurse include in the teaching Limit socializing in large crowds.