Nokea
Diego is undergoing blood transfusion of the first unit. The earliest signs of transfusion reactions are:
- A. Oliguria and jaundice
- B. Urticaria and wheezing
- C. Headache, chills, & fever
- D. Hypertension and flushing
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
In cleaning the stoma, the nurse would use which of the following cleaning mediums?
- A. Hydrogen Peroxide, water and mild soap
- B. Providone Iodine, water and mild soap
- C. Alcohol, water and mild soap
- D. Mild soap and water
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which meal should be removed for a client taking warfarin?
- A. Oriental cabbage salad with chicken
- B. Beef enchilada, rice, and beans
- C. Ham and cheese sandwich
- D. Macaroni salad and grapefruit slices
Correct Answer: C
Rationale: The correct meal to remove for a client taking warfarin is the 'Ham and cheese sandwich.' Ham is high in vitamin K, which can interfere with the effectiveness of warfarin, a medication that works by decreasing the clotting ability of the blood. Vitamin K can counteract the effects of warfarin by promoting blood clotting. Choices A, B, and D do not contain high amounts of vitamin K and are therefore safer options for individuals taking warfarin.
The following mechanisms can be utilized as part of the quality assurance program of your hospital EXCEPT:
- A. Patient satisfaction surveys
- B. Peer review to assess care provided
- C. Review of clinical records of care of client
- D. Use of Nursing Interventions Classification
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In which type of shock does the patient experience a mismatch of blood flow to the cells?
- A. Distributive
- B. Cardiogenic
- C. Hypovolemic
- D. Septic
Correct Answer: A
Rationale: The correct answer is A: Distributive shock. Distributive shock is characterized by a widespread increase in vascular permeability leading to a relative hypovolemia and a mismatch of blood flow to the cells. Choice B, Cardiogenic shock, is due to the heart's inability to pump effectively. Choice C, Hypovolemic shock, results from a decrease in intravascular volume. Choice D, Septic shock, is caused by a systemic response to infection.
Nurse DMLM is correct in identifying the correct sequence of events during abdominal assessment if she identifies which of the following?
- A. Inspection, Auscultation, Percussion, Palpation
- B. Inspection, Percussion, Palpation, Auscultation
- C. Inspection, Palpation, Percussion, Auscultation
- D. Inspection, Auscultation, Palpation, Percussion
Correct Answer: D
Rationale: The correct sequence for abdominal assessment is Inspection, Auscultation, Percussion, Palpation. Start with Inspection to observe any visible abnormalities, followed by Auscultation to listen for bowel sounds, then Percussion to assess the density of underlying structures, and finally Palpation to feel for any tenderness or masses. Choices A, B, and C have the incorrect sequence of assessment techniques.