NUR 2214 Exam 3

The parents of a 4-year-old boy, who has sickle cell anemia disease, ask the nurse what the best action is they can take to prevent him from having a sickle-cell-crisis. How should the nurse respond? A. Prevent outdoor activities B. Try to avoid social interactions C. Try to avoid stressful situations D. Try not wear too many layers of clothing on a chilly day - C. Try to avoid stressful situations A nurse realizes a 22-year-old female patient was readmitted to hospital. The woman was previously admitted because she suffered from interpersonal violence. What should the nurse establish before asking if the woman is still suffering from physical abuse? A. Conduct a physical assessment before asking if the patient has experienced any physical abuse B. The nurse should determine if there is enough trust established between them and the patient before investigating further C. Determine if the patient still lives with their abuser D. Ensure the authorities have already been involved - B. The nurse should determine if there is enough trust established between them and the patient before investigating further A male patient is who has a history of anaphylaxis is instructed to inject his EpiPen every time he suffers a severe allergic reaction. What action should he take after successfully injecting the EpiPen?A. The patient should immediately lie down and rest B. The patient should continue to ambulate C. The patient should seek follow-up care even if his symptoms subside D. The patient should inject his second EpiPen about 12 hours later - C. The patient should seek follow-up care even if his symptoms subside A patient receives a blood transfusion and appears to be having a reaction. What type of hypersensitivity reaction has the patient suffered from? A. Type 1 B. Type 2 C. Type 3 D. Type 4 - B. Type 2 Rationale: A blood transfusion is good example of a type 2 hypersensitivity reaction. This is why a Type and Screen needs to be performed on a patient prior to receiving the transfusion. A pediatric patient appears to have stomatitis and is slightly underweight. What teaching should the nurse include when educating the parents? A. Make the child only eat foods that are hot B. Do not force the child to eat food C. Try to trick the child into eating vegetables D. Recommend the child only eat cold foods - B. Do not force the child to eat foodA patient's lab results reveal his platelets are less than 150,000. Which medication is the HCP most likely to administer? A. Neumega B. Epogen C. Mesnex D. Neupogen - A. Neumega A 29-year-old male patient with a history of alcoholism has been prescribed Disulfiram (Antabuse). His girlfriend tells the nurse he gets "extremely sick" (nausea and vomiting) every time he takes the medication. She says all forms of alcohol (beer, wine, and liquor) have been removed from their house. Furthermore, "his license has been revoked and his keys have been confiscated. He is not able to drive to a liquor store." How should the nurse respond? A. Explain to the nurse that nausea and vomiting are normal side effects of this medication but will eventually subside B. Tell the girlfriend that he probably has other means of transportation to the liquor store C. Ask the girlfriend to consider other sources of alcohol such as mouthwash, hand sanitizer, or other products that may be in their house D. Explain to the girlfriend he might have an allergic reaction to the medication and his HCP will be notified - C. Ask the girlfriend to consider other sources of alcohol such as mouthwash, hand sanitizer, or other products that may be in their house Rationale: Check all liquid forms of medications (read labels), look for fumes, or even cleaning agents because these substances may contain alcoholA graduate nurse and their preceptor assess a kidney transplant patient. The patient asks what is the purpose of being on immunosuppressants? How should the nurse or preceptor respond? A. Immunosuppressants elevate WBCs B. Immunosuppressants help prevent the body from rejecting the new organ C. Immunosuppressants reduce allergic reactions D. Immunosuppressants increase RBCs - B. Immunosuppressants help prevent the body from rejecting the new organ An 8-year-old male patient with leukemia receives chemotherapy intravenously. What complication does the nurse need to monitor against? A. A slight increase in temperature 99 degrees Fahrenheit B. Jaundice C. Fatigue D. Extravasation - D. Extravasation Rationale: Assess the site every hour to ensure there is no sign of extravasation