ATI Learning Systems RN Medical-Surgical: Cardiovascular and Hematology Questions with correct answers
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a nurse is caring for a patient who has hemophilia. the patient reports pain and swelling in a joint following an injury. which of the following actions should the nurse take? Correct Answer - prepare for replacement of missing clotting factors
-hemophilia is a hereditary bleeding disorder in wh...
ATI Learning Systems RN Medical-Surgical: Cardiovascular and Hematology Questions with correct answers a nurse is caring for a patient who has hemophilia. the patient reports pain and swelling in a joint following an injury. which of the following actions should the nurse take? Correct Answer - prepare for replacement of missing clotting factors
-hemophilia is a hereditary bleeding disorder in which blood clots slowly and abnormal bleeding occurs
-caused by a deficiency in most common clotting factor, factor VIII (hemophilia A)
-aggressive factor replacement is initiated to prevent hemarthrosis that can result in
long-term loss of range of motion in repeatedly affected joints
-coagulation tests that measure platelet function, such as bleeding time, are used to Dx, not treat, hemophilia
-aspirin and other NSAID's, and some herbal supplements should be avoided b/c they interfere w/ clotting function
-affected joint should be elevated to allow blood to drain away from pt
a nurse is completing a medication history for a patient who reports using fish oil as a dietary supplement. which of the following substances in fish oil should the nurse recognize as a health benefit to the patient? Correct Answer - omega 3 fatty acids
-helps lower risk of cardiovascular dz and stroke by decreasing triglyceride levels
-antioxidants: substances naturally occurring in fruits and veggies, as well as in nuts, grains, and some meat, poultry, and fish
-beta-carotene, vitamin A, C, E, and selenium are some of most commonly known antioxidants -can slow/prevent development of cancer
-beta-carotene: precursor to vitamin A, functions as fat-soluble antioxidant which protects body from deleterious free-radical rxns
A nurse is reviewing a patient's repeat lab results for hours after administering fresh frozen plasma. Which of the following lab results for the nurse review? Correct Answer - prothrombin time (PT_
-FFP is plasma rich in clotting factors and is administered to treat acute clotting disorders
-desired effect: decrease in PT
-review WBC's if there's possible infection
-review platelet count following admin of platelets
-review HCT following admin of packed RBC's
A nurse is assessing a patient who has right-sided heart failure. Which of the following findings should the nurse expect? Correct Answer - dependent edema
-blood return from venous system to R atrium is impaired by weakened R heart
-consecutive systemic venous backup leads to development of dependent edema
-Left-sided HF: pts w/ this disorder have decreased cardiac output which causes decreased capillary refill; blood returns from lungs via pulmonary vein is slowed, causing fluid buildup in lungs that results in SOB; dizziness can occur d/t decreased cardiac output
A nurse is administering a unit of packed red blood cells to a patient who is postoperative. The patient reports itching and has hives 30 minutes after the infusion begins. Which of the following actions should the nurse take first? Correct
Answer - stop infusion
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