Exam 2: NSG320 / NSG 320 (Latest
Update 2024 / 2025) Adult Health Nursing I Exam | Questions and Verified Answers | 100% Correct | Grade A - GCU
Question:
how can using a heating pad or blanket be beneficial for a client with peripheral vascular disease?
Answer:
promotes vasodilation
Question:
the nurse is staying with a client who is receiving a blood transfusion for the first 15 minutes. within a few minutes, the client begins itching and is notably short of breath with a drop in BP. what's the nurse's immediate action?
Answer:
stop the infusion, call the HCP, give Benadryl if ordered, try and return the blood to the blood bank
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Question:
untreated acute hemolytic transfusion reaction can lead to?
Answer:
disseminated intravascular coagulation and shock
Question:
what is the most important thing for the nurse to do before starting a blood transfusion
Answer:
with a second RN, verify patient with the blood they are getting!!!!!
Question:
symptoms of acute hemolytic transfusion reaction
Answer:
back, abdominal, chest, or flank PAIN; fever, dyspnea, decreased BP
Question:
"risk for" nursing diagnosis for a client receiving a blood transfusion?
Answer:
RISK FOR FLUID VOLUME OVERLOAD:
- put client in reverse Trendelenburg, frequently auscultate at the lungs
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Question:
what solution is used with a blood transfusion?
Answer:
normal saline - 0.9% sodium chloride ONLY
Question:
who can check blood in the blood bank and who can give blood?
Answer:
LPN or RN can check; only RN can give blood transfusion
Question:
what size gauge to use during a blood transfusion and why?
Answer:
18 or 20 gauge so it doesn't hemolyze
Question:
autologous blood transfusion and why is it used?
Answer:
removing whole blood from a person and transfusing that blood back into the same person. avoids problems of incompatibility, allergic reactions, and disease transmission
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