NUR 3125 MS EXAM - QUESTIONS

1. A patient’s blood transfusion has been hanging for 2 hours. The patient is complaining of a raised itchy rash and shortness of breath; she is wheezing, anxious, and very restless. Which of the following is suggested by the assessment findings? a. Acute transfusion reaction b. Circulatory overload c. Febrile reaction d. Hemolytic reaction 2. When evaluating a patient with symptoms of shock, the nurse must differentiate between neurogenic and hypovolemic shock. How do the symptoms of neurogenic shock differ from hypovolemic shock? a. In hypovolemic shock, capillary refill is brisk. b. In hypovolemic shock, there is bradycardia. c. In neurogenic shock, capillary refill is delayed. d. In neurogenic shock, the skin is warm and dry. 3. A 67-year-old man had a physical examination prior to beginning volunteer work at a hospital. A routine chest xray demonstrated left ventricular hypertrophy. His blood pressure was 180/110. He is 45 pounds overweight, his diet is high in sodium and fat, and he has a strong family history of hypertension. His provider placed him on antihypertensive medication, a diet low in sodium and fat, and an exercise regimen. On his next visit to the provider, his willingness to adhere to the treatment plan would best be determined with: a. a blood pressure reading of 130/70 and a 5 pound weight loss. b. no evidence of left ventricular hypertrophy on the chest x-ray. c. no side effects from the medication and an accurate pill count. d. serum blood levels of the anti-hypertensive medication within a therapeutic range. 4. A patient is being discharged and will continue enteral feedings at home. Which of the following statements by a family member indicates the need for further teaching