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A nurse is assessing a patient who is receiving a platelet transfusion. Which of the following findings is an adverse effect of the transfusion?

Nystagmus.

Bradycardia.

Chills.

Hypothermia.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Nystagmus, which is involuntary eye movement, is not a common adverse effect of a platelet transfusion.

Choice B rationale

Bradycardia, or a slow heart rate, is not typically associated with platelet transfusions.

Choice C rationale

Chills can be an adverse effect of a platelet transfusion. This could be a sign of a reaction to the transfusion, such as an allergic reaction or a febrile non-hemolytic transfusion reaction.

Choice D rationale

Hypothermia is not a common adverse effect of a platelet transfusion.

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Correct Answer is A

Explanation

The first action the nurse should take when caring for a patient with gastrointestinal bleeding is to assess orthostatic blood pressure. This can help determine the extent of the patient’s blood loss and whether they are experiencing hypovolemia.

A. Pick up the bottle with the label facing the palm. B. Pour the solution onto the gauze. C. Pour 1 to 2 mL into a receptacle. D. Perform hand hygiene. E. Place the bottle cap face-up on a clean surface. F. Remove the bottle cap.

Correct Answer is D,A,F,C,E,B

Explanation

The correct sequence for pouring a sterile solution is: D, A, F, C, E, B

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A nurse is assessing a patient who is receiving a platelet transfusion. Which of the following findings is an adverse effect of the transfusion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has gastrointestinal bleeding. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution?

Correct Answer is D,A,F,C,E,B

Explanation

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