NUR 2502 Multidimensional Care III
Rasmussen - MDC III - Final Exam
Most common s/s of ITP
Correct Answer:
Bruising, purpura
Treatment: *Idiopathic Thrombocytopenic Purpura*
Correct Answer:
PLT transfusions
If your patient has thrombocytopenia, what are we going to try to avoid doing with this patient?
Correct Answer:
anything invasive like needlesticks, catheters, rectal tubes therefore we want a central line or PICC so we aren't constantly sticking needles in them
What's the antidote to warfarin (Coumadin)?
Correct Answer:
Vitamin K 1 / 3
Patient Education: *Warfarin*
Correct Answer:
▪ avoid large amounts of dark leafy green vegetables ▪ avoid gingko biloba
How do we monitor warfarin?
Correct Answer:
PT/INR
When we are giving patients blood transfusions, what is the protocol?
Correct Answer:
▪ 2 nurses verifying the orders ▪ stay with the patient the first 15 min ▪ monitor vital signs 15 min after ▪ 4 hours start-finish
What do you do if you notice a blood transfusion reaction? Fever, chills, headache...
Correct Answer:
▪ stop the infusion ▪ start normal saline(NS), flush ▪ send bag and tubing to the lab for testing
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Can you still get blood products if you had an allergic reaction?
Correct Answer:
Yes! You'll just get some allergy meds first like benadryl
A patient has CHF and needs a blood transfusion, will we give them the blood?
Correct Answer:
Yes! Even though they are at risk for overload we will give them some furosemide (Lasix) first. Weigh the risk with benefit
What are we most worried about post-op for anyone who has had surgery?
Correct Answer:
▪ pneumonia - we can prevent this by telling them to cough, deep breathing, splinting pain, incentive spirometer
▪ paralytic ileus - r/t pain medication and anesthesia constipation
Age-associated prostate gland enlargement that can cause urination difficulty.
Correct Answer:
BPH (benign prostatic hyperplasia)
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