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NSG 472 Chapter 17, 15, & 32 (BluePrint) Questions With Complete Solutions
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NSG 472 Chapter 17, 15, & 32 (BluePrint) Questions With Complete Solutions
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NSG 472 Chapter 17, 15, & 32 (BluePrint) Questions WithComplete Solutions
-22g or larger needled needed
-may have different tubing
-give ASAP
-infuse over 30-60min (push fast)
-flush line with NS after to remove blood from tubing Correct
Answer What are the difference in plasma and PRBC
transfusion steps and procedures ?
-anti-anxiety agents
-explanation of the procedure and sensations that will be felt
-risks, benefits, and alternatives
-signed informed consent Correct Answer What does patient
preparation include with bone marrow aspiration and biopsy?
-chills
-fever
-muscle stiffness Correct Answer S/S of febrile nonhemolytic
reaction
-diffuse rash progressing to blistering and desquamation (similar
to second degree burns)
-mucosal inflammation of the eyes and entire GI tract
-diarrhea may exceed 2L per day
-biliary stasis with abdominal pain
-hepatomegaly
-elevated liver enzymes progressing to obstructive jaundice
Correct Answer What are clinical manifestation of GVHD?
,-discontinuing all heparin products
-administer medications that inhibit thrombin formation or cause
direct thrombin inhabitation: argatroban (Novastan), danaparoid
(Orgaran), fondaparinux (Arixtra), bivalirudin (Angiomax)
Correct Answer Treatment for HIT
-DVTs
-PEs
-MI
-thrombotic stroke
-arterial occlusion in limbs
-DIC Correct Answer What are complications of HIT?
-dyspnea
-orthopnea
-tachycardia
-increased bp
-sudden anxiety
-JVD
-crackles
-hypoxemia
-pulmonary edema (dyspnea, coughing pink frothy sputum)
Correct Answer What are s/s of TACO?
-evaluations to assess current clinical status, nutrition, extensive
physical exams, organ function tests, and psychological
evaluations
-blood work to assess past infectious antigen exposure
-patients social support and financial and insurance resources
-informed consent
, -educations! Correct Answer What nursing management is
needed before HSCT?
-fever
-chills
-low back pain
-nausea
-chest tightness
-dyspnea
-anxiety
-hemoglobinuria
-hypotension
-bronchospasm
-vascular collapse Correct Answer What are the s/s of acute
hemolytic reactions?
-fever
-chills
-RD
-low back pain
-NV
-pain at IV site
-anything "unusual" Correct Answer What signs and symptoms
should the patient be instructed about and educated to inform
nurse if they occur during blood transfusion?
-hx of previous transfusions/reactions
-pregnancies
-health problems with careful attention to cardiac, pulmonary,
and vascular diseases Correct Answer What patient history is
important for blood transfusions?
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