Exam 1 S3 Questions With Complete Solutions
1 unit of PRBC can replace a blood loss of ______mL Correct
Answers 500
1L of water = _____ lb. Correct Answers 2.2
A PaO2 lower than ____ mmHg may be normal for pt w/
chronic resp problems, those over 60, living at high altitudes
Correct Answers 80
A triple lumen needs a minimum of ___cc of ____________
saline per lumen per day Correct Answers 1; heparinized
A water deficit can cause _______________ Correct Answers
hypernatremia
ABO compatibility is not required for __________ Correct
Answers platelets
Air embolus S/S Correct Answers Tachypnea, hypoxia, apnea,
wheezing, cyanosis, tachycardia, chest pain, hypotension
All PN solutions require what? Correct Answers Inline filter
Any dextrose solution over 10% has to be infused by
_____________, not a PIV unless in case of emergency Correct
Answers Central line
,Blood for an autologous transfusion most commonly is obtained
by a preop donation up to __ ______ before a scheduled surgery
Correct Answers 6 weeks
Cancer cachexia (Wasting syndrome) Correct Answers
Anorexia &/or unintended loss of WT & appetite
Cardiac tamponade Correct Answers Fluid accumulation in the
pericardium
Cardiac tamponade S/S Correct Answers SOB, increased HR,
cough/hoarseness, dysphagia, hiccups, N/V, excessive
perspiration, decreased LOC, distant/muted heart sounds
Carotid artery rupture Tx Correct Answers Fluids, blood
products, ligation of carotid artery above & below rupture site,
reduction of local tumor
Cause of transfusion associated circulatory overload (TACO)
Correct Answers Blood admin faster than circulation can
accomodate
Clinical manifestations of acute intravascular hemolytic reaction
Correct Answers Chills, fever, flank pain, flushing, tachycardia,
tachypnea, hypotension, sudden oliguria, circulatory shock,
cardiac arrest, death
Clinical manifestations of febrile nonhemolytic reaction Correct
Answers Sudden shaking chills, fever, rise in temp of 1 degree,
headache, flushing, anxiety, muscle pain
, Clinical manifestations of mild allergic reaction Correct
Answers flushing, itching, urticaria
Clinical manifestations of sepsis Correct Answers Rapid onset
of chills, high fever, hypotension, circulatory shock, V/D,
sudden oliguria, DIC
Clinical manifestations of TACO Correct Answers Dyspnea,
cough, crackles, rales, distended neck veins when upright
Completely compensated Correct Answers pH is WNL & both
parameters are abnormal in opposite directions
Cryoprecipitates require no _______ _________ Correct
Answers cross match
Delayed transfusion reactions occur within a _____ day period
Correct Answers 14
Diffusion Correct Answers Movement of molecules from high
to low concentration
Disseminated Intravascular Coagulation (DIC) Correct Answers
Bleeding and thrombotic disorder that results from abnormally
initiated & accelerated clotting
Do not admin K+ on an empty stomach because Correct
Answers It can cause N/V
Do not give D5W to pt with ________ & ______________
Correct Answers Increased ICP & diabetes
1 unit of PRBC can replace a blood loss of ______mL Correct
Answers 500
1L of water = _____ lb. Correct Answers 2.2
A PaO2 lower than ____ mmHg may be normal for pt w/
chronic resp problems, those over 60, living at high altitudes
Correct Answers 80
A triple lumen needs a minimum of ___cc of ____________
saline per lumen per day Correct Answers 1; heparinized
A water deficit can cause _______________ Correct Answers
hypernatremia
ABO compatibility is not required for __________ Correct
Answers platelets
Air embolus S/S Correct Answers Tachypnea, hypoxia, apnea,
wheezing, cyanosis, tachycardia, chest pain, hypotension
All PN solutions require what? Correct Answers Inline filter
Any dextrose solution over 10% has to be infused by
_____________, not a PIV unless in case of emergency Correct
Answers Central line
,Blood for an autologous transfusion most commonly is obtained
by a preop donation up to __ ______ before a scheduled surgery
Correct Answers 6 weeks
Cancer cachexia (Wasting syndrome) Correct Answers
Anorexia &/or unintended loss of WT & appetite
Cardiac tamponade Correct Answers Fluid accumulation in the
pericardium
Cardiac tamponade S/S Correct Answers SOB, increased HR,
cough/hoarseness, dysphagia, hiccups, N/V, excessive
perspiration, decreased LOC, distant/muted heart sounds
Carotid artery rupture Tx Correct Answers Fluids, blood
products, ligation of carotid artery above & below rupture site,
reduction of local tumor
Cause of transfusion associated circulatory overload (TACO)
Correct Answers Blood admin faster than circulation can
accomodate
Clinical manifestations of acute intravascular hemolytic reaction
Correct Answers Chills, fever, flank pain, flushing, tachycardia,
tachypnea, hypotension, sudden oliguria, circulatory shock,
cardiac arrest, death
Clinical manifestations of febrile nonhemolytic reaction Correct
Answers Sudden shaking chills, fever, rise in temp of 1 degree,
headache, flushing, anxiety, muscle pain
, Clinical manifestations of mild allergic reaction Correct
Answers flushing, itching, urticaria
Clinical manifestations of sepsis Correct Answers Rapid onset
of chills, high fever, hypotension, circulatory shock, V/D,
sudden oliguria, DIC
Clinical manifestations of TACO Correct Answers Dyspnea,
cough, crackles, rales, distended neck veins when upright
Completely compensated Correct Answers pH is WNL & both
parameters are abnormal in opposite directions
Cryoprecipitates require no _______ _________ Correct
Answers cross match
Delayed transfusion reactions occur within a _____ day period
Correct Answers 14
Diffusion Correct Answers Movement of molecules from high
to low concentration
Disseminated Intravascular Coagulation (DIC) Correct Answers
Bleeding and thrombotic disorder that results from abnormally
initiated & accelerated clotting
Do not admin K+ on an empty stomach because Correct
Answers It can cause N/V
Do not give D5W to pt with ________ & ______________
Correct Answers Increased ICP & diabetes