The nurse is preparing to apply electrodes for continuous cardiac
The nurse is preparing to apply electrodes for continuous cardiac monitoring to a newly admitted adult with syncope. Which action by the nurse follows appropriate procedure? Group of answer choices Cleanse and prepare the chest area for electrode placement with chlorhexidine. Use a blanket to cover the patient’s abdomen while the limb electrodes are being placed. Scrape the area to roughen the dermis layer of skin to allow electrical signals to travel more easily. Place the patient in a supine position. Flag question: Question 2Question 21 pts After obtaining a 12-lead ECG, the nurse records the date and time the ECG was obtained, the reason for obtaining the ECG, and who the ECG was given to for interpretation in the patient’s chart. After this documentation, what is the appropriate action of the nurse? Group of answer choices Immediately report any unexpected outcomes. Reposition the patient to a position of comfort. Report to the nursing assistive personnel that the 12-lead ECG is completed. Invite the family caregivers to visit at the bedside. Flag question: Question 3Question 31 pts A nurse is concerned about the type of blood that a patient is to receive. A patient with an O blood type may safely receive which type of blood? Group of answer choices Type A blood Type B blood Type AB blood Type O blood Flag question: Question 4Question 41 pts The patient has received a total of 7 units of blood over the past 8 hours. The nurse assesses the patient’s laboratory test results. Which of the following would be an expected complication? Group of answer choices Hypokalemia Hyperkalemia Hypercalcemia Iron deficiency Flag question: Question 5Question 51 pts The patient is to receive 2 units of packed red blood cells (RBCs). The units are cold, and the nurse is concerned that this could lead to dysrhythmias and/or a reduction in core temperature. What action may the nurse take to prevent this? Group of answer choices Warm the blood in a microwave. Warm the blood using hot water. Warm the blood using a blood warmer. Allow the blood to warm to room temperature before administering. Flag question: Question 6Question 61 pts The patient is to receive 1 unit of packed red blood cells (RBCs). The nurse obtains the blood from the blood bank and returns to the unit to find that the patient has been taken to radiology for a computed tomography (CT) scan and is expected to return in about an hour. What should the nurse do? Group of answer choices Go to radiology and administer the blood. Keep the blood refrigerated until the patient returns. Return the blood to the blood bank. Hang the blood in the patient’s room and start it when the patient returns. Flag question: Question 7Question 71 pts The nurse is administering blood. What should the nurse do to detect a blood reaction as quickly as possible? Group of answer choices Remain with the patient during the first 15 minutes. Transfuse the blood at 10 mL/min. Monitor vital signs q 1 hour. Transfuse blood at 50 gtt/min. Flag question: Question 8Question 81 pts The patient is receiving a unit of packed red blood cells (RBCs). Fifteen minutes into the procedure, he complains of severe kidney pain, and his temperature increases by 3°F. The nurse stops the transfusion immediately, suspecting that which of the following reactions is occurring? Group of answer choices Delayed hemolytic transfusion reaction Nonhemolytic febrile reaction Acute hemolytic transfusion reaction Severe allergic reaction Flag question: Question 9Question 91 pts The specific blood product used for replacement of clotting factors and fibrinogen is: Group of answer choices whole blood. packed RBCs. cryoprecipitate. albumin, 25% pooled. Flag question: Question 10Question 101 pts The nurse is administering 1 unit of packed red blood cells as ordered by the primary care provider. While the nurse is measuring vital signs 15 minutes after starting the transfusion, the patient complains of chills and back pain. What is the nurse’s first action? Group of answer choices Stop the blood transfusion and keep the vein patent by administering saline to infuse from the other side of the Y tubing. Slow the blood transfusion and notify the charge nurse. Disconnect the blood tubing from the catheter and replace it with an infusion of normal saline. Stop the blood transfusion and notify the primary care provider.
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