The nurse is caring for a patient whose blood type is A-. The nurse knows that this patient can receive the following blood types:(SELECT ALL THAT APPLY)
A-
АB
O-
A-
O+
Correct Answer : A,C,D
A. A patient with blood type A- can receive A- blood, as it matches both the ABO blood group and Rh factor.
B. A patient with A- blood cannot receive AB blood because the blood type is incompatible in terms of both ABO group and Rh factor. AB blood contains both A and B antigens, which could lead to an immune response in a type A patient.
C. O- blood is a universal donor for all blood types, meaning it does not contain A or B antigens and does not have the Rh factor, so it can be given to an A- patient.
D. As already noted, A- blood is compatible with an A- patient because both the ABO group and Rh factor are the same.
E. O+ blood contains the Rh antigen, and since the patient is A-, they cannot receive Rh-positive blood, as this could cause an immune reaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["13.8"]
Explanation
The patient weighs 121 lbs, which is approximately 55 kg (121 ÷ 2.2).
The prescribed dose is 1 mg/kg, so the patient requires 55 mg of furosemide. The medication is supplied at a concentration of 40 mg per 10 mL.
To find out how many mL of furosemide to administer, set up a proportion: 40 mg is to 10 mL as 55 mg is to X mL.
Therefore, the nurse should administer 13.8 mL of furosemide, rounding to the nearest tenth.
Correct Answer is D
Explanation
A. Reporting the findings and anticipating a prescription for amiodarone may be necessary later, but the first step is to assess the patient's immediate condition (unresponsiveness, pulse status, etc.).
B. Although increasing monitor sensitivity and initiating a rapid response call might be helpful, these actions come after assessing the patient’s condition. If the patient is in distress or unresponsive, the nurse needs to check for a pulse and intervene right away.
C. This is a crucial action if the patient is unresponsive and pulseless (cardiac arrest). If the patient is found to be unresponsive and pulseless, starting chest compressions immediately and preparing for defibrillation is the next step. However, the first action is to check for pulse and responsiveness.
Why it's incorrect: Compressions and defibrillation are correct actions if the patient is pulseless, but before taking these steps, the nurse must assess the patient for responsiveness and check the carotid pulse. Starting CPR and preparing defibrillation without verifying the patient's condition could delay appropriate care.
D. Checking responsiveness and pulse is the most immediate and critical action because VT may be asymptomatic or cause deterioration, including cardiac arrest. Once pulse and responsiveness are determined, appropriate interventions (such as defibrillation or CPR) can be initiated quickly.
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