Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion?
Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donor’s and recipient’s blood). In this reaction, antibodies in the recipient’s plasma combine rapidly with donor RBC’s; the cells are hemolyzed in either circulatory or reticuloendothelial system. Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities.
A patient who develops hives after receiving an antibiotic is exhibiting drug:
A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. The reaction can range from a rash or hives to anaphylactic shock.
The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to:
Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching.
A patient has returned to his room after femoral arteriography. All of the following are appropriate nursing interventions except:
A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected.
The physician orders an IV solution of dextrose 5% in water at 100ml/hour. What would the flow rate be if the drop factor is 15 gtt = 1 ml?
C: 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minute
Parenteral penicillin can be administered as an:
Parenteral penicillin can be administered I.M. or added to a solution and given I.V. It cannot be administered subcutaneously or intradermally.
Which of the following conditions may require fluid restriction?
In renal failure, the kidney loses their ability to effectively eliminate wastes and fluids. Because of this, limiting the patient’s intake of oral and I.V. fluids may be necessary.
The physician orders gr 10 of aspirin for a patient. The equivalent dose in milligrams is:
gr 10 x 60 mg/gr 1 = 600 mg
Which of the following types of medications can be administered via gastrostomy tube?
Most tablets designed for oral use, except for extended-duration compounds can be administered via gastrostomy tube.
All of the following are common signs and symptoms of phlebitis except:
Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter.
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