To determine if chilling is the result of an emerging complication or of infusing cold blood, what action is essential?
- A. Monitoring the client’s temperature before,during and after the transfusion.
- B. Documenting the client’s temperature after the transfusion.
- C. Documenting the temperature of the blood before the transfusion.
- D. Comparing the client’s temperature with the temperature of the blood.
Correct Answer: A
Rationale: The correct answer is A because monitoring the client’s temperature throughout the transfusion helps identify complications.
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Complications of self-induced vomiting in binge eating disorder include which of the following?
- A. Fluid and electrolyte disorders
- B. Damage to teeth
- C. Constipation
- D. Cardiac problems
Correct Answer: B
Rationale: Frequent vomiting exposes teeth to stomach acid, causing enamel erosion and dental damage.
You have just received the morning report from the night shift nurses. List the order of priority for assessing and caring for these patients.
- A. A patient who developed tumor lysis syndrome around 5:00 am.
- B. A patient with frequent reports of break-through pain over the past 24 hours.
- C. A patient scheduled for exploratory laparotomy this morning.
- D. A patient with anticipatory nausea and vomiting for the past 24 hours.
Correct Answer: A
Rationale: Tumor lysis syndrome is a life-threatening condition requiring immediate intervention, making it the top priority.
Which type of stress helps individuals pursue goals and solve problems?
- A. Energy stress
- B. Active stress
- C. Eustress
- D. Distress
Correct Answer: C
Rationale: Eustress is positive stress that motivates individuals to achieve goals, learn new skills, and manage crises effectively.
Differentiate between the various types of bipolar disorder.
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
Correct Answer: A
Rationale: The correct answer is A because it is the most appropriate response based on physiological and medical principles.
Glaucoma is a preventable condition. Which group is most likely to develop glaucoma and should be targeted for educational programs?
- A. African-Americans of any age
- B. Alaskan-Americans >50 years
- C. White-Americans >60 years
- D. Native-Americans >35 years
Correct Answer: A
Rationale: African-Americans are at higher risk for developing glaucoma at a younger age and should be prioritized for education and screening.