NRSG 317 FINAL EXAM 2024/2025 WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
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Course
NRSG 317
Institution
NRSG 317
Sites for SubQ injections - ACCURATE ANSWERS avoid 1-2 inch radius around the umbilicus. not the outer thigh. hold skin across the injection site or pinch skin with non-dominant hand. inject over several seconds.
Signs of blood transfusion reaction - ACCURATE ANSWERS fever
profound hypertension...
NRSG 317 FINAL EXAM 2024/2025
NRSG 317 FINAL EXAM 2024/2025 WITH GUARANTEED ACCURATE ANSWERS |
VERIFIED
Sites for SubQ injections - ACCURATE ANSWERS✔✔ avoid 1-2 inch
radius around the umbilicus. not the outer thigh. hold skin across the
injection site or pinch skin with non-dominant hand. inject over several
seconds.
Signs of blood transfusion reaction - ACCURATE ANSWERS✔✔ fever
profound hypertension
rigors
nausea and diarrhea
Appropriate nursing action when blood transfusion occurs -
ACCURATE ANSWERS✔✔ STOP TRANSFUSION
infuse 0.9 % NaCl (NS) via new tubing to keep IV access open
,obtain a set of vital signs
report reaction to MD and blood bank STAT carry out any orders for
medications fluids
administer oxygen treat symptoms as needed
do clerical check at bedside ID tags and numbers
send blood bag to lab
collect blood and urine samples
document thoroughly
Bacterial: rare-contamination during collection or processing
Allergic Reaction - ACCURATE ANSWERS✔✔ seen in approximately
1% of recipients caused by foreign plasma proteins are present S/sx:
may experience itching to anaphylactic shock stop transfusion
immediately
Hemolytic Reaction - ACCURATE ANSWERS✔✔ •Rare, most severe
reaction
•Leads to the breakdown of RBCs
•Usually caused by human error: mislabeled or wrong person
•Signs and symptoms
•Fever (up to 105 F), feeling of heat along vein in which the blood is
being transfused, pain-especially in lumbar region (flank pain), dark
urine and uncontrollable bleeding due to DIC
, fluid overload - ACCURATE ANSWERS✔✔ •Patients with
cardiopulmonary disease and infants are at risk of volume overload
especially during rapid transfusion
•Signs and symptoms
•Sudden dsypnea, tachypnea, tachycardia, chest discomfort, distended
neck veins, crackles and rales, restlessness, sudden increase in blood
pressure, and S3
IV Site Assessment - ACCURATE ANSWERS✔✔ prior to
administration of any fluid or medication IV the insertion site must be
assessed for patency infiltration and phlebitis.
-examine the IV site for redness and swelling
-if finding none clean the injection port with alcohol and slowly inject
10 ml of normal saline into the IV site taking care to feel and observe the
IV site for swelling and the vein for infusion of the IV solution into the
vein.
-if the fluid infuses into the vein then continue to prepare the IV fluid or
medication for administration.
IV Reminders - ACCURATE ANSWERS✔✔ IV administration avoids
the first pass effect
effects are immediate
IV catheter site change only necessary when there is irritation (phlebitis,
infiltration, etc) otherwise, if the catheter is functioning and intact, can
remain for 72-96 hours (3-4 days)
IV tubing change = based on solution & frequency of infusion
(continuous v intermittent)
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