Elsevier Adaptive Quizzing: Perfusion -
Clotting
A purchaser studies gastrointestinal (GI) bleeding, and the fitness care issuer prescribes a
blood transfusion. While receiving the blood, the patron develops flank pain, chills, and fever.
Which type of transfusion reaction could the nurse conclude that the consumer possibly is
experiencing?
1. Allergic
2. Pyrogenic
three. Hemolytic
4. Anaphylactic
Answer: 3. Hemolytic
Rationale: A hemolytic transfusion response consequences from a recipient's antibodies that
are incompatible with transfused pink blood cells; it's miles known as a kind II allergy. The
clinical findings are a result of purple blood cells hemolysis, agglutination, and capillary
plugging. An allergic transfusion response is the result of an immune sensitivity to foreign serum
protein; it's far referred to as a type I allergic reaction, and associated scientific findings consist
of urticaria, wheezing, dyspnea, and shock. Bacterial pyrogens are present in infected blood
and may motive a febrile transfusion response; associated clinical findings consist of fever and
chills, but no longer flank ache. An anaphylactic response may additionally arise with an allergic
transfusion response.
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A patron sustains a crushing injury to the decrease left leg, and a under-the-knee amputation is
performed. For which not unusual scientific manifestations of a pulmonary embolus would the
nurse examine this consumer? Select all that observe. One, some, or all responses can be
accurate.
1. Sharp chest ache
2. Acute onset of dyspnea
three. Pain in the residual limb
four. Absence of the popliteal pulse
five. Blanching of the affected extremity
Answer: 1. Sharp chest pain
, 2. Acute onset of dyspnea
Rationale: Emboli can arise with crushing injuries of the extremities. Lodging of a thrombus in
the pulmonary machine consequences in a lack of pulmonary tissues, causing localized sharp
chest pain. Lodging of a thrombus within the pulmonary machine will bring about reduced breath
sounds and dyspnea. Pain within the residual limb is related no longer to a pulmonary embolus
however to severed nerve endings in the residual limb. A pulmonary embolus will no longer
interfere with arterial circulation to a distal portion of an extremity. Blanching of the affected
extremity is related to interference with arterial movement to an extremity.
We have an expert-written solution to this problem!
The nurse instructs a consumer that, further to building bones and teeth, calcium is also
important for what?
1. Bile manufacturing
2. Blood production
3. Blood clotting
4. Digestion of fats
Answer: 3. Blood clotting
Rationale: Calcium is vital for blood coagulation. When tissue harm takes place, serum calcium
is important to sell coagulation by activating certain clotting factors. Calcium acts as a catalyst
inside the clotting system in each the extrinsic and intrinsic pathways. Calcium is accountable
for a number of body capabilities, consisting of bone health, blood clotting, and muscle
contraction and nerve impulses; however, it isn't always directly related to bile and blood
production or digestion of fat.
A patron on duloxetine therapy ingests ibuprofen for ache remedy. Which adverse impact could
the nurse count on with this aggregate of medicinal drugs?
1. Bleeding
2. Hepatotoxicity
3. Serotonin syndrome
four. Cardiac dysrhythmias
Answer: 1. Bleeding
Rationale: Duloxetine is a serotonin and norepinephrine reuptake inhibitor. When nonsteroidal
anti-inflammatory drugs (such as aspirin) are consumed with duloxetine, a high threat of
bleeding may also result. Hepatotoxicity occurs because of the consumption of alcohol with
duloxetine. Serotonin syndrome happens while selective serotonin reuptake inhibitors are fed on
in conjunction with duloxetine. Cardiac dysrhythmias may additionally occur when
sympathomimetics are excited about tricyclic antidepressants.
We have an expert-written strategy to this hassle!
When being concerned for an older grownup with coronary artery disease, which change within
the plan of care might the nurse make because of the patron's age?
Clotting
A purchaser studies gastrointestinal (GI) bleeding, and the fitness care issuer prescribes a
blood transfusion. While receiving the blood, the patron develops flank pain, chills, and fever.
Which type of transfusion reaction could the nurse conclude that the consumer possibly is
experiencing?
1. Allergic
2. Pyrogenic
three. Hemolytic
4. Anaphylactic
Answer: 3. Hemolytic
Rationale: A hemolytic transfusion response consequences from a recipient's antibodies that
are incompatible with transfused pink blood cells; it's miles known as a kind II allergy. The
clinical findings are a result of purple blood cells hemolysis, agglutination, and capillary
plugging. An allergic transfusion response is the result of an immune sensitivity to foreign serum
protein; it's far referred to as a type I allergic reaction, and associated scientific findings consist
of urticaria, wheezing, dyspnea, and shock. Bacterial pyrogens are present in infected blood
and may motive a febrile transfusion response; associated clinical findings consist of fever and
chills, but no longer flank ache. An anaphylactic response may additionally arise with an allergic
transfusion response.
We have an professional-written strategy to this problem!
A patron sustains a crushing injury to the decrease left leg, and a under-the-knee amputation is
performed. For which not unusual scientific manifestations of a pulmonary embolus would the
nurse examine this consumer? Select all that observe. One, some, or all responses can be
accurate.
1. Sharp chest ache
2. Acute onset of dyspnea
three. Pain in the residual limb
four. Absence of the popliteal pulse
five. Blanching of the affected extremity
Answer: 1. Sharp chest pain
, 2. Acute onset of dyspnea
Rationale: Emboli can arise with crushing injuries of the extremities. Lodging of a thrombus in
the pulmonary machine consequences in a lack of pulmonary tissues, causing localized sharp
chest pain. Lodging of a thrombus within the pulmonary machine will bring about reduced breath
sounds and dyspnea. Pain within the residual limb is related no longer to a pulmonary embolus
however to severed nerve endings in the residual limb. A pulmonary embolus will no longer
interfere with arterial circulation to a distal portion of an extremity. Blanching of the affected
extremity is related to interference with arterial movement to an extremity.
We have an expert-written solution to this problem!
The nurse instructs a consumer that, further to building bones and teeth, calcium is also
important for what?
1. Bile manufacturing
2. Blood production
3. Blood clotting
4. Digestion of fats
Answer: 3. Blood clotting
Rationale: Calcium is vital for blood coagulation. When tissue harm takes place, serum calcium
is important to sell coagulation by activating certain clotting factors. Calcium acts as a catalyst
inside the clotting system in each the extrinsic and intrinsic pathways. Calcium is accountable
for a number of body capabilities, consisting of bone health, blood clotting, and muscle
contraction and nerve impulses; however, it isn't always directly related to bile and blood
production or digestion of fat.
A patron on duloxetine therapy ingests ibuprofen for ache remedy. Which adverse impact could
the nurse count on with this aggregate of medicinal drugs?
1. Bleeding
2. Hepatotoxicity
3. Serotonin syndrome
four. Cardiac dysrhythmias
Answer: 1. Bleeding
Rationale: Duloxetine is a serotonin and norepinephrine reuptake inhibitor. When nonsteroidal
anti-inflammatory drugs (such as aspirin) are consumed with duloxetine, a high threat of
bleeding may also result. Hepatotoxicity occurs because of the consumption of alcohol with
duloxetine. Serotonin syndrome happens while selective serotonin reuptake inhibitors are fed on
in conjunction with duloxetine. Cardiac dysrhythmias may additionally occur when
sympathomimetics are excited about tricyclic antidepressants.
We have an expert-written strategy to this hassle!
When being concerned for an older grownup with coronary artery disease, which change within
the plan of care might the nurse make because of the patron's age?
