HESI CASE STUDT RISK FOR FALLS HIP
FRACTURES AND PULMONARY EMBOLISM
EXAM WITH CORRECT ANSWERS.
Susan visits her primary healthcare provider (HCP). The nurse reviews
Susan's electronic health record and notes her history of hypertension,
osteoporosis, and osteoarthritis and her current medication regimen.
The nurse understands that which information is correct about
osteoarthritis? - CorreCt Answers -A noninflammatory condition involving
formation of new joint tissue in response to cartilage destruction.
Which post-operative prescription should the nurse implement first? -
CorreCt Answers -Apply oxygen 2 L via nasal cannula.
The 02 saturation is low at 90%. Airway is the first priority.
The blood bank calls with the news that Ms. Weil's third unit of blood
(PRBCs) is ready.
Which task(s) are required before transfusing this unit of PRBCs?
Select all that apply
Which task(s) are required before transfusing this unit of PRBCs?
Hang unit of blood and have have the charge nurse verify the orders.
,Confirm the right client, the right blood type, and the right unit of blood
with another RN.
Have the nurse assistant take the client's vital signs, including temperature,
prior to hanging the blood and after the transfusion is complete.
Ensure that the consent is signed and current.
Gather supplies, including new blood tubing, new normal saline to hang
with the blood, and a pump if it is required by hospital policy. - CorreCt
Answers -Confirm the right client, the right blood type, and the right unit of
blood with another RN.
Two nurses should verify the unit of blood, the blood type, and the client
prior to hanging the blood.
Ensure that the consent is signed and current.
A consent for blood transfusion can be obtained in conjunction with the
surgical consent; however, a separate consent must also be obtained for a
blood transfusion.
Gather supplies, including new blood tubing, new normal saline to hang
with the blood, and a pump if it is required by hospital policy.
, The blood tubing currently hanging was used for two units that were
infused during the surgery. Best practice is to use tubing for either two
units of blood or for 4 hours, whichever comes first.
Fifteen minutes after the PRBCs are started, Susan reports headache and
has tachypnea and chills. Her blood pressure is 88/52, and she has a
temperature of 101.9°F (38.8°C).
What is the priority intervention? - CorreCt Answers -Stop the blood
transfusion and hang a new normal saline infusion.
Headache, tachypnea, chills, hypotension, and elevated temperature are
signs and symptoms of a blood transfusion reaction.
Pharmacology
In order for Surgical Care Improvement Project (SCIP) guidelines to be
met, Mrs. Weil should be given antibiotics postoperatively, with the last
dose administered before the surgery end time the following day. (For
example, if the surgery is completed Tuesday at noon, the client will receive
antibiotics as scheduled, but not after noon on Wednesday.) The anesthesia
report documents cefazolin (Ancef) 2 g given at 1900 and 0100 during the
procedure. The surgery end time is 0230 on Wednesday.
Pharmacology
In order for Surgical Care Improvement Project (SCIP) guidelines to be
met, Mrs. Weil should be given antibiotics postoperatively, with the last
dose administered before the surgery end time the following day. (For
FRACTURES AND PULMONARY EMBOLISM
EXAM WITH CORRECT ANSWERS.
Susan visits her primary healthcare provider (HCP). The nurse reviews
Susan's electronic health record and notes her history of hypertension,
osteoporosis, and osteoarthritis and her current medication regimen.
The nurse understands that which information is correct about
osteoarthritis? - CorreCt Answers -A noninflammatory condition involving
formation of new joint tissue in response to cartilage destruction.
Which post-operative prescription should the nurse implement first? -
CorreCt Answers -Apply oxygen 2 L via nasal cannula.
The 02 saturation is low at 90%. Airway is the first priority.
The blood bank calls with the news that Ms. Weil's third unit of blood
(PRBCs) is ready.
Which task(s) are required before transfusing this unit of PRBCs?
Select all that apply
Which task(s) are required before transfusing this unit of PRBCs?
Hang unit of blood and have have the charge nurse verify the orders.
,Confirm the right client, the right blood type, and the right unit of blood
with another RN.
Have the nurse assistant take the client's vital signs, including temperature,
prior to hanging the blood and after the transfusion is complete.
Ensure that the consent is signed and current.
Gather supplies, including new blood tubing, new normal saline to hang
with the blood, and a pump if it is required by hospital policy. - CorreCt
Answers -Confirm the right client, the right blood type, and the right unit of
blood with another RN.
Two nurses should verify the unit of blood, the blood type, and the client
prior to hanging the blood.
Ensure that the consent is signed and current.
A consent for blood transfusion can be obtained in conjunction with the
surgical consent; however, a separate consent must also be obtained for a
blood transfusion.
Gather supplies, including new blood tubing, new normal saline to hang
with the blood, and a pump if it is required by hospital policy.
, The blood tubing currently hanging was used for two units that were
infused during the surgery. Best practice is to use tubing for either two
units of blood or for 4 hours, whichever comes first.
Fifteen minutes after the PRBCs are started, Susan reports headache and
has tachypnea and chills. Her blood pressure is 88/52, and she has a
temperature of 101.9°F (38.8°C).
What is the priority intervention? - CorreCt Answers -Stop the blood
transfusion and hang a new normal saline infusion.
Headache, tachypnea, chills, hypotension, and elevated temperature are
signs and symptoms of a blood transfusion reaction.
Pharmacology
In order for Surgical Care Improvement Project (SCIP) guidelines to be
met, Mrs. Weil should be given antibiotics postoperatively, with the last
dose administered before the surgery end time the following day. (For
example, if the surgery is completed Tuesday at noon, the client will receive
antibiotics as scheduled, but not after noon on Wednesday.) The anesthesia
report documents cefazolin (Ancef) 2 g given at 1900 and 0100 during the
procedure. The surgery end time is 0230 on Wednesday.
Pharmacology
In order for Surgical Care Improvement Project (SCIP) guidelines to be
met, Mrs. Weil should be given antibiotics postoperatively, with the last
dose administered before the surgery end time the following day. (For
