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RNSG 2539 EXAM 1 (Perfusion, Clotting, Fluid and Electrolytes) Comprehensive Study Guide + Exam Questions & Solutions Graded A+

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RNSG 2539 EXAM 1 (Perfusion, Clotting, Fluid and Electrolytes) Comprehensive Study Guide + Exam Questions & Solutions Graded A+

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RNSG 2539 EXAM 1 (Perfusion,
Clotting, Fluid and Electrolytes)
Comprehensive Study Guide +
Exam Questions & Solutions
Graded A+
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,allergic reaction to transfused blood - Answer: hives, itching,
anaphylaxis


MI EKG changes - Answer: 1. peaked T waves (early)
2. ST segment elevation (indicates transmural injury/acute
infarct)
3. Q waves (indicates necrosis; late; specific)
4. T wave inversion (sensitive but nor specific)
5. ST segment depression (indicates subendocardial injury)


nursing interventions to allergic reaction to blood product -
Answer: stop transfusion and keep vein open with normal
saline


notify primary care provider immediately


administer antihistamine parenterally as necessary


Febrile reaction to blood transfusion - Answer: fever, chills,
headache, malaise

,nursing interventions to febrile reaction to blood product -
Answer: stop transfusion immediately and keep vein open
with normal saline


notify primary care provider


treat symptoms


hemolytic transfusion: incompatibility of blood product -
Answer: immediate onset of facial flushing, fever, chills,
headache, low back pain, shock


nursing intervention for hemolytic transfusion incompatibility
of a blood product - Answer: stop infusion immediately and
keep vein open with normal saline


notify md


obtain blood samples from the site

, obtain first voided urine


treat shock if present


send unit, tubing, and filter to lab


draw blood sample for geologic testing and send urine
specimen to lab


circulatory overload: too much blood administered - Answer:
dyspnea, dry cough, pulmonary edema


nursing interventions for circulatory overload of blood
product - Answer: slow or stop infusion


monitor VS


notify primary care provider

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