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EXAM 1: NUR242/ NUR 242 MEDICAL -SURGICAL
NURSING EXAM | QUESTIONS AND VERIFIED
ANSWERS| 100% CORRECT| GRADE A - GALEN
### Blood Transfusion
**QUESTION:** What is the nurse’s first step if a patient
receiving a blood transfusion breaks out in hives?
**Answer:** A pt is receiving a blood transfusion and breaks
out in hives. What is the nurses first step? Immediately stop the the transfusion and start normal saline
**QUESTION:** How often should the nurse monitor a
patient’s vital signs when they are receiving a blood transfusion?
**Answer:** How often should the nurse monitor patient's vital
signs when they are receive a blood transfusion? Vital sings must be checked after 15 minutes, 30 minutes, and one hour followed by every hour after.
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### Cellulitis
**QUESTION:** What skin condition might the nurse suspect
in a patient presenting to the ER with swelling and pain in her right calf after accidentally cutting herself?
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**Answer:** A pt goes to the ER for swelling and pain in her
right calf. The PT states that it occurred after she accidentally cut herself. Based on her symptoms, what skin condition might the nurse suspect the patient has? Cellulitis. Cellulitis is inflammation of the skin and subq tissue.
**QUESTION:** What abnormal lab values might the night
nurse see in a patient with cellulitis after receiving shift report?
**Answer:** After receiving shift report, the night nurse looks
at the lab values for a patient with cellulitis. What abnormal lab values might you see? -WBC - elevated -Creatinine- elevated - Bicarbonate- low -Albumin- low -Calcium- low
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### Hematological Conditions
**QUESTION:** What might we conclude a patient will be
diagnosed with based on symptoms of muscle weakness, trouble walking, and a beefy red tongue?
**Answer:** A pt presents with muscle weakness, trouble
walking, and a beefy red tongue. Based on these symptoms, what might we conclude the patient will be diagnosed with? B- 12 Deficiency
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**QUESTION:** What signs and symptoms might you suspect
a patient exhibit if they were iron deficient? Select all that apply. a. weakness b. palor c. tachypnea d. fatigue e. beefy red tongue
**Answer:** When caring for a patient with Sickle Cell
Anemia, what are some nursing interventions you'll need to implement? What signs and symptoms might you suspect a patient exhibit if they were iron deficient? Select all that apply.
- weakness b. palor c. tachypnea d. fatigue e. beefy red tongue
Answer: A, B, and D
**QUESTION:** What are some nursing interventions to
implement when caring for a patient with Sickle Cell Anemia?
**Answer:** When caring for a patient with Sickle Cell
Anemia, what are some nursing interventions you'll need to implement? - Avoid extreme temperatures - Keep room warm - Encourage fluid intake -Encourage ROM - Pain management
**QUESTION:** What are the normal RBC lab values for
women, men, and children?**Answer:** Normal RBC Lab Values Women: 4.2 to 5.4 million/uL Men: 4.7 to 6.1 million/uL Children: 4.6 to 4.8 million/uL
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### Immobility
**QUESTION:** What does a No Lift Policy entail in a
rehabilitation center, as explained by Patricia, an RN, to a nurse aide struggling to lift and reposition an elderly, bedridden patient?
**Answer:** Patricia is an RN working at a rehabilitation
center and witnesses a nurse aid struggling to lift and reposition an elderly, bed ridden patient. She explains to the nurse aide that there is a No Lift Policy in place in the establishment. What does this policy entail? The concept of a no-lift policy is a pledge from administrators that proper equipment, adequately maintained and in sufficient numbers, will be available to care providers to reduce the risks associated with manual patient handling
**QUESTION:** Immobility affects multiple body systems.
What are some interventions that you can implement to decrease these effects? Select all that apply. A. Utilizing waffle mattress to reduce the need for repositioning B. Teds/SCDs C. Rubbing reddened areas D. Limiting fluid intake E. ROM exercises
**Answer:** Immobility effects multiple body systems. What
are some interventions that you can implement to decrease these effects? Select all that apply. A. Utilizing waffle mattress to reduce the need for repositioning B. Teds/SCDs C. Rubbing reddened areas D. Limiting fluid intake E. ROM exercises