NUR 437 Midterm Exam Questions and
Answers
What meds or solutions can be transfused concurrently with blood components -
Answer-1. normal saline solution
nothing else
What should never be administered concurrently with blood products - Answer-lactated
ringers containing calcium because calcium binds to citrate
How long after the blood is spiked is it expired - Answer-4 hours at room temp
How long should transfusion be initiated after release from blood bank - Answer-30
minutes
What should you do to the blood bag before administration - Answer-gently agitate
blood bag
Initial rate for blood admin within the first 15 minutes - Answer-2 ml/min or 20 gtt/min, if
no reaction increase rate to infuse remaining volume over 2 hours
How often do you monitor pt vitals signs after transfusion begins - Answer-5 minutes, 15
minutes, 30 minutes, and every hour and when the transfusion is complete
How often should administration sets and filters should changed - Answer-after each
unit or every four hours
Should new tubing be obtained after a filter is previously used to transfuse whole blood
or RBCs? - Answer-yes
What to assess for after giving client FFP? - Answer-signs of fluid overload (crackles,
tachycardia), signs of hypocalcemia (muscle twitching), monitor pts prothrombin time
What should the platelet count rise to after transfusing platelets - Answer-5000 per
microliter; if it doesn't rise as anticipated, probably a immune related platelet reaction
What to do during a mentoring interaction - Answer--remain calm, centered, curious,
supportive
-focus on one topic at a time
-"tell me more"
-don't interrupt
-acknowledge that you are listening/understanding; ask for clarification
-remain tuned in to non-verbal communication and body language
-remain person-centered
, -advocate for a different perspective if appropriate
-build a sustainable solution
How to end a mentoring interaction - Answer--ask the person to sum up what they'll take
from the interaction
-thank them
Contact precautions include - Answer-Possible private room
Clean gown and glove use
Disposal of contaminated items in room
Double-bag linen and mark
Droplet precautions include - Answer-1. Require a private room (semiprivate cohorting
only if the patients have the same infection)
2. Use of a standard disposable mask by caregivers.
3. If necessary to move the patient from the room (for example to go get an X-Ray) , the
patient should wear a standard mask.
4. Often, Gown and gloves are worn for droplet precautions in addition to the mask
Airborne precautions include - Answer-wash hands
mask- N-95 respirator
room private, isolation- door remains closed
negative air pressure room
Ex: measles
What does ESR measure - Answer-indirectly shows the degree of inflammation
How frequently should a transparent occlusive dressing on a central venous catheter be
changed? - Answer-every 5-7 days or PRN
Clinical Judgement Model - Answer-1. noticing
2. interpreting
3. responding
4. reflecting
The nurse has inserted a catheter 7.5 cm (3 inches) in a female patient and obtains no
urine return even though her bladder is distended. What action should the nurse take at
this time? - Answer-leave the catheter in the vagina as a landmark and insert another
sterile catheter
The ideal time to initiate breastfeeding of a newborn is within - Answer-1-2 hours of birth
Answers
What meds or solutions can be transfused concurrently with blood components -
Answer-1. normal saline solution
nothing else
What should never be administered concurrently with blood products - Answer-lactated
ringers containing calcium because calcium binds to citrate
How long after the blood is spiked is it expired - Answer-4 hours at room temp
How long should transfusion be initiated after release from blood bank - Answer-30
minutes
What should you do to the blood bag before administration - Answer-gently agitate
blood bag
Initial rate for blood admin within the first 15 minutes - Answer-2 ml/min or 20 gtt/min, if
no reaction increase rate to infuse remaining volume over 2 hours
How often do you monitor pt vitals signs after transfusion begins - Answer-5 minutes, 15
minutes, 30 minutes, and every hour and when the transfusion is complete
How often should administration sets and filters should changed - Answer-after each
unit or every four hours
Should new tubing be obtained after a filter is previously used to transfuse whole blood
or RBCs? - Answer-yes
What to assess for after giving client FFP? - Answer-signs of fluid overload (crackles,
tachycardia), signs of hypocalcemia (muscle twitching), monitor pts prothrombin time
What should the platelet count rise to after transfusing platelets - Answer-5000 per
microliter; if it doesn't rise as anticipated, probably a immune related platelet reaction
What to do during a mentoring interaction - Answer--remain calm, centered, curious,
supportive
-focus on one topic at a time
-"tell me more"
-don't interrupt
-acknowledge that you are listening/understanding; ask for clarification
-remain tuned in to non-verbal communication and body language
-remain person-centered
, -advocate for a different perspective if appropriate
-build a sustainable solution
How to end a mentoring interaction - Answer--ask the person to sum up what they'll take
from the interaction
-thank them
Contact precautions include - Answer-Possible private room
Clean gown and glove use
Disposal of contaminated items in room
Double-bag linen and mark
Droplet precautions include - Answer-1. Require a private room (semiprivate cohorting
only if the patients have the same infection)
2. Use of a standard disposable mask by caregivers.
3. If necessary to move the patient from the room (for example to go get an X-Ray) , the
patient should wear a standard mask.
4. Often, Gown and gloves are worn for droplet precautions in addition to the mask
Airborne precautions include - Answer-wash hands
mask- N-95 respirator
room private, isolation- door remains closed
negative air pressure room
Ex: measles
What does ESR measure - Answer-indirectly shows the degree of inflammation
How frequently should a transparent occlusive dressing on a central venous catheter be
changed? - Answer-every 5-7 days or PRN
Clinical Judgement Model - Answer-1. noticing
2. interpreting
3. responding
4. reflecting
The nurse has inserted a catheter 7.5 cm (3 inches) in a female patient and obtains no
urine return even though her bladder is distended. What action should the nurse take at
this time? - Answer-leave the catheter in the vagina as a landmark and insert another
sterile catheter
The ideal time to initiate breastfeeding of a newborn is within - Answer-1-2 hours of birth
