A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? (Select all that apply.)

Transfuse the blood product within 5 hr after removing it from refrigeration.

Check the expiration date of the blood product with a second nurse.

Prime the blood tubing with dextrose 5% in water.

Check vital signs before transfusion.

E. Insert an IV with a 19-gauge needle.

Answer and Explanation

Correct Answer : B,D

A second person is important to check expiry date to avoid transfusion of expired product. Vital signs are also important as a baseline of client’s condition
A. Blood products have different time frames depending on the protocol
C. Priming should be done with normal saline
E. The needle gauge depending on client’s veins caliber

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Correct Answer is B

Explanation

B. corticosteroid has a counter regulatory hormone effect in glucose control
A. Hypoxia does not increase insulin need
C. Antibiotics do not increase blood glucose
D. Type 2 diabetes cannot convert to type 1

A. A client who is about to have surgery B. A client who has suddenly developed symptomatic tachycardia with a heart rate of 180 beats/min C. A client newly diagnosed with myasthenia gravis D. A client who has suddenly developed symptomatic bradycardia with a heart rate of 32 beats/min E. A client with severe narrow-angle glaucoma

Correct Answer is ["A","D"]

Explanation

A. Atropine sulfate reduce the production of bronchial secretions leading to easy intubation. This reduction in airway secretion ensures smooth intubation
D. Atropine is an anticholinergic that binds on to the muscarinic receptors on the heart to produce block the parasympathetic impulses. This mechanism is used to manage bradycardia
B. Tachycardia is managed through vagal maneuvers if stable and cardioversion or antiarrhythmics
C. Myasthenia gravis is managed using acetylcholinesterase inhibitors
E. Cholinergic agonists are used in narrow angle glaucoma

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A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these clients? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

The nurse is monitoring a client who has severe bone marrow suppression following antineoplastic drug therapy. Which is considered a principal early sign of infection?

An older adult client will be taking a vasodilator for hypertension. Which adverse effect is of most concern for the older adult client taking this class of drug?

The nurse is evaluating the laboratory results of a client who has received chemotherapy. The loss of which blood cell leads to lack of energy, fatigue, intolerance of activity and hypoxemia?

Which problem may occur in a client who has started aminoglycoside therapy?

A client who has received some traumatic news is panicking and asks for some medication to help settle down. The nurse anticipates giving which drug that is most appropriate for this situation?

During a client's therapy with interleukins, the nurse monitors the client for capillary leak syndrome. Which assessment finding, if present, would indicate this problem?

When evaluating a client's use of a metered-dose inhaler (MDI), the nurse notes that the client is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?