Question

47. A nurse is preparing to administer 1 unit of packed RBCs to an adult client. Which of the following actions should the nurse plan to take?

1. Slow the transfusion rate if the client reports itching.
2. Prime the IV tubing with 0.45% sodium chloride.
3. Complete the transfusion within 2 hr.
4. Administer through a 22-gauge IV catheter.

48. A nurse is preparing to administer 1 unit of packed RBCs to an adult client. Which of the following actions should the nurse plan to take?

1. Slow the transfusion rate if the client reports itching.
2. Prime the IV tubing with 0.45% sodium chloride.
3. Complete the transfusion within 2 hr.
4. Administer through a 22-gauge IV catheter.

49. A nurse is planning care for a client who is 1 day postoperative following an open cholecystectomy. Which of the following interventions should the nurse include in the plan of care?

1. Apply compression stockings to the lower extremities.
2. Discourage leg exercises while in bed.
3. Place pillows under the client's knees.
4. Avoid use of anticoagulants.

50. A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and reports a nagging dry cough. Which of the following responses by the nurse is appropriate?

1. "Sucking on a lozenge may reduce the frequency of your cough
2. "increasing your daily fluid intake may eliminate your cough."
3. "Your cough may require that you stop or change your medication."
4. "Your cough should go away in time."

Answer 1

Answers

Q1: Answer is option B- Prime the IV tubing with 0.45% sodium chloride.

Option B is the right answer because before administering the packed red blood cells, the intravenous catheter should be flushed with 0.45% sodium chloride to clean out the catheter to prevent any blockages and to remove any medicine left in the catheter after received an IV infusion.

Q3: Answer is option A- Apply compression stockings to the lower extremities.

  Option A is the correct one because in a patient after open cholecystectomy, there is a risk for developing deep vein thrombosis due to the decreased movement of legs during surgery that will lead to the formation of blood clots. Placing a compression on the legs, starting to walk, and providing anticoagulants will helps to prevent the formation of blood clots.

Q4: Answer is option C- Your cough may require that you stop or change your medication.

  Option C is the right one because when the patient feels a dry nagging cough after taking the ACE inhibitors the medication should stop or should change the medication to a different class of blood pressure medication. Because the ACE inhibitors will increase the production of nitric oxide which will irritate the lung and will cause cough.