NU 185/ NU185 Exam 2– Medical-Surgical Nursing II Review | Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

NU 185/ NU185 Exam 2– Medical-Surgical Nursing II Review | Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION S/s of mild transfusion reaction Answer: Rash, hives itching, facial flushing QUESTION What do you do if patient is having mild reaction to transfusion Answer: Slow it and give Benadryl QUESTION What do you do if patient is having a severe reaction to transfusion Answer: Stop it, get new IV tubing and hook to normal saline, run KBO, send blood and tubing to blood bank QUESTION What are s/s of severe transfusion reaction Answer: SOB, chest discomfort, sense of impending doom, flank pain in low backs hematuria, tachycardia, Tachypnea, hypotension, temp rising 2 degree above starting temp QUESTION How do we treat anaphylactic reaction Answer: Epi (adrenaline) QUESTION S/s of acute hemolytic reaction Answer: Dizziness, chills, fever, low back pain, flushing, all vitals up except BP is down, dark urine, shock, death QUESTION What education do you give or who had acute hemolytic reaction Answer: Dizziness and hypotension remain after problem is resolved so stand slowly with feet on the floor QUESTION What causes acute hemolytic reaction Answer: ABO incompatibility, pt antibodies in their plasma attach to transfused RBC and destroy the RBC QUESTION What is important (the treatment) to do for the patient who had an acute hemolytic reaction Answer: MAINTAIN BP WITH FLUIDS, treat shock, monitor I&O, dialysis if renal failure occurs QUESTION What drug is used to treat hematological issues and it works by increasing neutrophils(WBC) Answer: Filgrastim QUESTION What teaching is important to give the patient taking filgrastim Answer: S/s of infection and when to report to doctor QUESTION What is anemia Answer: Low RBC QUESTION S/s of anemia Answer: Exercising intolerance, short of breath, fatigue, pallor QUESTION Who do we give epogen and procrit to Answer: Pt with anemia bc it increases their RBC QUESTION What do we monitor when pt is on epogen / procrit Answer: BP bc it causes it to increase QUESTION S/s of iron deficiency anemia Answer: Pica and fissures (angular cheilitis) in the coroner of mouth, spoon shaped nails QUESTION What iron rich foods do you teach or to increase Answer: Red meat, liver, beans, blackstrap molasses, cooked shrimp, prune juice, raisins, apricots, egg yolk QUESTION What should pt on irons supplements do to increase absorption Answer: Take with vitamin c QUESTION S/s of b12 anemia glossitis (beefy red tongue) and paresthesia (pins and needles/ tingling in hands and feet)