NUR 3450 EXAM 4 2026 COMPLETE
QUESTIONS AND ACCURATE
ANSWERS GRADE A+
◉ External hemorrhage. Answer: - Elevate affected part above heart
level
- Apply direct pressure to the wound.
◉ Internal hemorrhage manifestations. Answer: - Symptoms of shock
- Hypotension
- Tachycardia
- Pallor
- Diaphoresis
- AMS
- Oliguria
- Delayed capillary refill
◉ Hemorrhage diagnostics. Answer: - Will look at RBC, hgb, hct
- These will not show S/S hemorrhage for 2-3 days
◉ Hemorrhage medical management. Answer: - Replace fluids: 3 mL
NS for 1 mL blood loss
- May give albumin or blood products
,◉ Hemorrhage nursing interventions. Answer: - For external, apply
firm, direct pressure
- Modified Trendelenburg
◉ Steps of blood administration (12). Answer: 1. Informed consent
2. Type and cross
3. Check IV patency and size
4. Hang y tubing with NS
5. Obtain blood from bank
6. Begin administration within 30 minutes of obtaining blood
7. Start at 2 mL/min
8. Stay with patient
9. VS after 15 minutes
10. Increase rate
11. Infusion must be completed within 4 hours
12. Documentation
◉ Febrile nonhemolytic reaction cause. Answer: Sensitivity to donor's
WBCs
◉ Febrile nonhemolytic reaction manifestations. Answer: - Chills
- Fever
- Headache
- Flushing
, - Anxiety
◉ Febrile nonhemolytic reaction prevention. Answer: - Leukocyte-
reduced blood products
- Prophylactic acetaminophen and diphenhydramine
◉ Acute hemolytic reaction cause. Answer: - Administration of
incompatible blood
◉ Acute hemolytic reaction manifestations. Answer: - Low back pain
- Fever
- Chills
- Flushing
◉ Acute hemolytic reaction prevention. Answer: - Meticulous
verification and documentation of patient identification
◉ Allergic reaction cause. Answer: - Reaction to donor's plasma
proteins
◉ Allergic reaction symptoms. Answer: - Hives
- Itching
- Flushing
QUESTIONS AND ACCURATE
ANSWERS GRADE A+
◉ External hemorrhage. Answer: - Elevate affected part above heart
level
- Apply direct pressure to the wound.
◉ Internal hemorrhage manifestations. Answer: - Symptoms of shock
- Hypotension
- Tachycardia
- Pallor
- Diaphoresis
- AMS
- Oliguria
- Delayed capillary refill
◉ Hemorrhage diagnostics. Answer: - Will look at RBC, hgb, hct
- These will not show S/S hemorrhage for 2-3 days
◉ Hemorrhage medical management. Answer: - Replace fluids: 3 mL
NS for 1 mL blood loss
- May give albumin or blood products
,◉ Hemorrhage nursing interventions. Answer: - For external, apply
firm, direct pressure
- Modified Trendelenburg
◉ Steps of blood administration (12). Answer: 1. Informed consent
2. Type and cross
3. Check IV patency and size
4. Hang y tubing with NS
5. Obtain blood from bank
6. Begin administration within 30 minutes of obtaining blood
7. Start at 2 mL/min
8. Stay with patient
9. VS after 15 minutes
10. Increase rate
11. Infusion must be completed within 4 hours
12. Documentation
◉ Febrile nonhemolytic reaction cause. Answer: Sensitivity to donor's
WBCs
◉ Febrile nonhemolytic reaction manifestations. Answer: - Chills
- Fever
- Headache
- Flushing
, - Anxiety
◉ Febrile nonhemolytic reaction prevention. Answer: - Leukocyte-
reduced blood products
- Prophylactic acetaminophen and diphenhydramine
◉ Acute hemolytic reaction cause. Answer: - Administration of
incompatible blood
◉ Acute hemolytic reaction manifestations. Answer: - Low back pain
- Fever
- Chills
- Flushing
◉ Acute hemolytic reaction prevention. Answer: - Meticulous
verification and documentation of patient identification
◉ Allergic reaction cause. Answer: - Reaction to donor's plasma
proteins
◉ Allergic reaction symptoms. Answer: - Hives
- Itching
- Flushing