AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT
24 hrs after below the knee amputation the pt calls to tell
the nurse the dressing has fallen off, what is the first action
the nurse should take? - correct answer- reapply the
compression dressing
8hrs after colostomy - correct answer- brick-red puffy
stoma that oozes blood
administering platelets - correct answer- agitate the
bag periodically during the transfusion
advanced gout - correct answer- frequent or constant
joint pain
lumps and bumps (tophi)
age to start getting DEXA - correct answer-
females=65
males=70
,Allergic rhinitis - correct answer- red, itchy, watery
eyes
sneezing, congestion, runny nose
itchy or sore throat, post nasal drip, cough
itchy ears, buzzing sound
an increase in which blood cell indicates an increased rate
of erythropoiesis - correct answer- reticulocyte
anaphylactic reaction - correct answer- rapid onset
dyspnea
-tight throat
-bronchospasm
-laryngeal edema
feelings of apprehension
tingling and swelling in mouth, face, throat, and tongue
itching
decreased BP
tachycardia
loss of consiousness
,anemia related to blood loss - correct answer- major
concern is prevention of shock
clinical symptoms are most reliable way to evaluate effect
and degree of blood loss
pt with acute blood loss may have postural hypotension
and increased HR
Bleeding precautions - correct answer- electric razor
no aspirin
small gauge needles
decrease needle sticks
protect from injury
blood administration - correct answer- -determine
allergies/previous transfusion reactions
-administer within 30 minutes of receiving from blood bank
-never add any meds to blood products
-do not warm unless risk of hypothermic response
-infuse each unit over 2-4 hours but no longer than 4 hours
blood transfusion reaction: nursing implications - correct
answer- stop transfusion and notify physician
, change IV tubing
treat symptoms if present (O2, fluids, epinphrine)
recheck crossmatch record with unit
Blood transfusion reactions - correct answer- febrile
reaction
allergic reaction
hemolytic transfusion reaction
bone marrow examination - correct answer- brief,
very sharp pain during aspiration
bowel obstruction collaborative management - correct
answer- Frequent Assessment
Pain Management
Fluid and Electrolyte Imbalances
NG Tube
Antiemetic
Antibiotics / Anti inflammatory
Bright red stools - correct answer- Lower GI bleed