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Exam (elaborations) Med Surg 1 The Hematologic System

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Nursing Plan for the patient with chronic bronchitis and emphysema Lowest FiO2 possible to prevent CO2 retention Monitor for signs and symptoms of fluid overload Maintain PaO2 between 55 and 60 Baseline ABGs Teach purse-lip breathing and diaphragmatic breathing Teach Tripod position Administer bronchodilators and anti-inflammatory agents Normal Blood gas pH in adults? Children? Adults - 7.35-7.45 Children - 7.36-7.44 Normal PCO2 blood gas 35-45 mmHg; same in adults and children Normal PO2 blood gas 80-100 mmHg; same in adults and children Normal HCO3 blood gas 21-28 mEq/L; same in adults and children Patients with COPD (emphysema and chronic bronchitis) are in a state of chronic? respiratory acidosis which results in metabolic alkalosis as compensation

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Med Surg - The Hematologic System


A healthcare professional is caring for a patient who is about to begin iron dextran (INFeD) therapy.
When administering the drug IM, the healthcare professional should take which of the following
actions?

- Administer a test dose
- Monitor blood pressure
- Have epinephrine available
- Use the Z-track technique

A healthcare professional is caring for a patient who is about to begin taking clopidogrel (Plavix) to
prevent thrombus formation. The healthcare professional should question the use of clopidogrel by a
patient who has which of the following?

Peptic ulcer disease

A healthcare professional is caring for a patient who is about to begin taking clopidogrel (Plavix) to
prevent stent stenosis. The healthcare professional should monitor the patient for which of the
following adverse reactions?

Thrombocytopenia

A healthcare professional is caring for a patient who is about to begin taking alteplase (Activase) to treat
acute myocardial infarction. The healthcare professional should understand the drug is most effective
when the patient receives it

Within 3 hrs of symptom onset

A healthcare professional should assess a patient who has megaloblastic anemia for indications of which
of the following vitamin deficiencies?

Vitamin B12

A healthcare professional is caring for a patient who is about to begin taking oprelvekin (Neumega) to
treat thrombocytopenia. The healthcare professional should tell the patient to report which of the
following indications of an adverse reaction?

- Conjunctivitis
- Swollen ankles
- Palpitations

A healthcare professional is caring for a patient who is about to begin taking filgrastim (Neupogen) to
treat neutropenia. The healthcare professional should assess the patient for which of the following
adverse effects?

Enlarged spleen

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