RN ADULT MED SURG PRACTICE NCLEX EXAM QUESTIONS AND ANSWERS 100% CORRECT!!

2. Remove blood from IV access. AVOID infusing further blood products. 3. Initiate an infusion of 0.9% sodium chloride using new tubing 4. monitory vital signs and fluid status 5. Send the blood bag and admin set to lab for testing Nurse is preparing to administer packed RBCs to a client who has Hgb of 6 g/dL. Which is the next action to perform during the first 15 minutes of the transfusion? - ANSWER Assess for hemolytic transfusion reaction When can a febrile transfusion reaction happen after a client received blood products? - ANSWER Commonly occurs 2 hr after Name the findings of febrile transfusion reaction - ANSWER Anti-WBC antibodies, chills (increase of 1·C (2·F) or greater from pretransfusion temp, flushing, hypotension, tachycardia A nurse is monitoring a client who began receiving a unit of packed RBCs 10 min ago. Which of the following findings should the nurse identify as an indication of a febrile transfusion reaction? - ANSWER Heart rate change from 88/min to 120/min. Client appears flushed When can an "allergic" transfusion reaction happen? - ANSWER During or up to 24 hrs after What type of infections require contact precautions? - ANSWER C. Diff, herpes simplex virus, impetigo, MRSA, VRSA, SARS-CoV-2 What type of infections require droplet precautions? - ANSWER H. Influenza type B (Hib), pertussis, mumps, rubella, plague, strept pneumonia, meningococcal pneumonia, COVID What warrants airborne precautions? - ANSWER Measles, varicella, TB A nurse in a primary care clinic is assessing a client who has a history of herpes zoster. Which of the following findings suggests that the client has postherpetic neuralgia? - ANSWER Report of continued pain following resolution of the rash Nursing action for client experiencing hypovolemic shock? - ANSWER Promote blood return to heart — elevate legs, bend client's hips and knees T