Blood Transfusions
Prior to retrieving blood from the blood bank; the nurse needs to check
What is type and cross and a signed informed consent?
Orange Juice, Legumes, strawberries, and tomatoes
are foods recommended for this type of anemia.
What is Iron deficiency anemia?
Because these foods are high in folic acid and vitamin C, which is required for iron absorption
Decreased H&H, hypoglycemia,hyponatremia, hypokalemia, decreased MAP describe
What is hypovolemic shock?
During a sickle cell crisis, the patient experiences excruciating pain. The nurse knows opioids are the common choice of pain medication in this case. The nurse will ask for something to prevent a complication and something to treat a possible complication associated with opioid use.
What is a stool softener (docusate sodium) and a reversal agent (naloxone)?
A client is receiving chemo via a central venous access such as a mediport. The nurse provides the following education-
What are
Access and flush your port monthly.
Participate in regular exercise.
Maintain a healthy diet.
Report any symptoms indicating recurrence.
Receive regular preventative health care and screenings.
This type of IVF is used to prime the tubing for blood transfusions.
What is 0.9% normal saline?
Because 0.45% NS can cause hemolysis
What are the following precautions:
Always have an epinephrine pen.
Wear a Medic Alert bracelet.
Inform close friends and family of latex allergy.
Be aware of foods that can cause latex-food syndrome.
Tell all health care providers providing care about the allergy.
Avoid health care settings as they have many latex products.
Identify items in the home that likely contain latex.
The client has a UTI and the nurse notices the vital signs show worsening hypotension, tachycardia, and increased respirations and temperature. These are all indicators of ???? and require further action by the nurse.
What is onset of septic shock?
Sepsis is bacteremia with a systemic inflammatory response; shock develops due to massive vasodilation.
1st line of treatment is IVFs and antibiotics after collecting cultures.
A common medication administered for Sickle cell is hydroxyurea, a cytotoxic drug, which requires certain precautions such as
What is wear gloves, do NOT open, cut, or crush the capsules?
A child is admitted with a temperature of 101.0 F(38.3 C), weakness, and fatigue. The parents report the child has had an increase in infections in the last two months, shows signs of shortness of breath with activity, and complains of bone pain. The skin is pale with noticeable swelling of lymph nodes under the arm pits.The nurse suspects the child has
What is ALL?
List in order actions a nurse would take when a blood transfusion reaction occurs.
stop the transfusion
notify provider
listen to lung sounds
administer lasix
The nurse reviews the laboratory results for a client admitted to the floor for excessive fatigue, headaches, and a burning tongue and finds hemoglobin 7g/dL, hematocrit 22%, serum iron 58 mcg/dL, and ferritin 10 ng/mL. The nurse suspects the client has ..... and educates the patient on .....
What is iron deficiency anemia and how to take oral iron supplementation?
When iron is taken, it must be taken when the duodenum is most acidic. It is also constipating, so the client must take a stool softener while taking iron. Also, iron causes stools to be black, so the nurse must educate the client on this as well. The client's headache will likely go away once treatment is started so there will be no need to take medication for headache, and there is no indication to drink excess water when taking iron so these should not be included in the nurse's discharge teaching
The client is restless, confused, has cool clammy skin, decreased cap refill, weak pulses, with decreased urine output, tachycardia, decreased SpO2 after sustaining a large laceration. The nurse suspects the client is experiencing
WHat is hypovolemic shock?
The client has been taking hydroxyurea and now has a fever, the major side effect that the nurse is concerned about is
WHat is acute chest syndrome and anticipates a prescription for a broad spectrum antibiotic?
A client has end-stage metastatic bone cancer on the hospice unit. The nurse instructs the UAP to
What is Logroll the client and support affected extremity when moving in bed.
During a blood transfusion, you notice the following hypertension, bounding pulses, dyspnea, restlessness, possible confusion, and possibly distended jugular veins, this type of reaction is known as
What is a circulatory overload reaction? the expected treatment is a diuretic to decrease the excess volume
The nurse suspects neurogenic shock. The clinical manifestation consistent with this finding is
What is bradycardia?
Bradycardia is the most common clinical manifestation associated with neurogenic shock caused by the relaxation of blood vessel walls.
For Hypovolemic shock related to blood loss the nurses would expect which lab values to be decreased
WHat are RBCs, hgb, hct?
BONUS: the priority treatment in hypovolemic shock
WHat is applying oxygen? then starting an IV.
The nurse cares for a client with a new diagnosis of acute myelogenous leukemia (AML). What is the nurse’s priority intervention when planning this client’s care?
What is the client with newly diagnosed leukemia can be very anxious and fearful of the disease outcome. The nurse should spend time with the client and family to assess what the diagnosis means to them and what they expect in the future.
Administering Packed red blood cells provides the red cells and their oxygen-carrying capacity without the plasma. Whole blood includes the cells and the plasma. A client asks why not receiving the whole blood the nurses response is
What is PRBCs provides the oxygen-carrying cells without the overload of extra fluid?
In the acute phase of, the primary infection of human immunodeficiency virus (HIV) a client presents with a sore throat, myalgia, fever, and rash. The nurse knows this is expected do to
The client is experiencing hypovolemic shock related to blood loss. the nurses anticipates the provider to order-
WHat is blood product replacement?
BONUS: Define ABCDE in trauma.
What is ABCDE for initial trauma survey stands for Airway/cervical spine, Breathing and ventilation, Circulation and hemorrhage, Disability and neurological status, and Exposure/environment control. These are priority items to complete and ensure the client is stabilized before moving on to less important items in a trauma.
When administering IV cisplatin for a client diagnosed with hepatoblastoma what assessment finding supports the nurse’s decision to immediately stop the infusion?
What are Symptoms of anaphylaxis include wheezing, tachycardia, and hypotension?