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Exam 4 - NUR 340 Practice Questions and Correct Answers CA$12.95   Add to cart

Exam (elaborations)

Exam 4 - NUR 340 Practice Questions and Correct Answers

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  • Course
  • NUR 340
  • Institution
  • NUR 340

Hemorrhage (Causes, RF, S/S, Diagnostics, Gen Treatment) Causes: bleeding inside and outside the body RF: meds that cause bleeding, recent surgery etc. S/S: cool moist skin, down BP, up HR, down output, delayed cap refill Diagnostics: RBC might be falsely high for 2-3 days, low RBC, Hgb, Hct ...

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  • August 28, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 340
  • NUR 340
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Exam 4 - NUR 340 Practice Questions
and Correct Answers
Hemorrhage (Causes, RF, S/S, Diagnostics, Gen Treatment) ✅Causes: bleeding
inside and outside the body
RF: meds that cause bleeding, recent surgery etc.
S/S: cool moist skin, down BP, up HR, down output, delayed cap refill
Diagnostics: RBC might be falsely high for 2-3 days, low RBC, Hgb, Hct
Gen Treatment: 2 large G ivs, type and cross, fluids, modified Trendelenburg

Blood Administration (proper steps for administration) ✅Informed Consent, T&C, hang
w NS, VS within 15 mins, ID recipient

Give within 30 mins

Infusion rate no exceed 4 hours

(anyone can pick up blood from blood bank)

Febrile Nonhemolytic Transfusion Reaction (Cause, S/S, Management) ✅most
common reaction

Caused by pts sensitivity to the donor wbcs

S/S: sudden chills, fever, rigors, headache, flushing, anxiety, vomiting, muscle pain

Management: antipyretics (acetaminophen & diphenhydramine)

Acute Hemolytic Reaction (Cause, S/S, Prevention) ✅SHOULD NEVER HAPPEN

Cause: recipient's antibodies attach to antigens on rbcs

S/S: starts w chills, fever, low back pain, and flushing

Prevention is key!
(meticulous verification and documentation of pt ID)

Allergic Transfusion Reaction (S/S, prevention) ✅S/S: hives, itching, flushing
(pts often given Benadryl)

Prevention: antihistamines/corticosteroids (blood component washing)

Transfusion Associated Circulatory Overload (TACO) (RF, cause, S/S, treatment) ✅too
much too quickly

, RF: HF, RF, and age (too much fluid already)

S/S: dyspnea, orthopnea, tachycardia, up BP, sudden doom, JVD, crackles in lungs,
pulmonary edema

Diuretics (can develop as late as 6 hrs after)

Bacterial Contamination Transfusion Reaction (cause, S/S) ✅bacteria in blood
products

S/S: fever, chills, hypotension

(can lead to sepsis, take meticulous care when admin, storing etc.)

Transfusion Related Acute Lung Injury (TRALI) (S/S, diagnostics, treatment) ✅(MORE
SEVERE)
Develop acute lung injury

S/S: dyspnea, hypoxia, hypotension, fever, pulmonary edema

Diagnosis: chest x-ray
Treatment: quick supportive care

NO DIURETICS

What to do for Infusion Reaction ✅- STOP INFUSION
- maintain IV acess w saline (change tubing)
- notify blood bank and physician
- recheck ID
Etc.

Obesity (BMI ranges)
<18.5
18.5 - 24.9
25.0 - 29.9
30.0 - 34.9
>35 ✅<18.5 = increase intake

18.5-24.9 = maintain

25-29.9 = down intake and up exercise (OVERWEIGHT)

30-34.9 = anti obesity meds (OBESE)

>35 = surgery consult
(>40 severe/extreme obese)

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