ATI Learning Systems RN Medical-Surgical: Cardiovascular and Hematology.

ATI Learning Systems RN Medical-Surgical: Cardiovascular and Hematology.a nurse is caring for a patient who has hemophilia. the patient reports pain and swelling in a joint following an injury. which of the following actions should the nurse take? - ANSWERprepare for replacement of missing clotting factors -hemophilia is a hereditary bleeding disorder in which blood clots slowly and abnormal bleeding occurs -caused by a deficiency in most common clotting factor, factor VIII (hemophilia A) -aggressive factor replacement is initiated to prevent hemarthrosis that can result in long-term loss of range of motion in repeatedly affected joints -coagulation tests that measure platelet function, such as bleeding time, are used to Dx, not treat, hemophilia -aspirin and other NSAID's, and some herbal supplements should be avoided b/c they interfere w/ clotting function -affected joint should be elevated to allow blood to drain away from pt a nurse is completing a medication history for a patient who reports using fish oil as a dietary supplement. which of the following substances in fish oil should the nurse recognize as a health benefit to the patient? - ANSWERomega 3 fatty acids -helps lower risk of cardiovascular dz and stroke by decreasing triglyceride levels -antioxidants: substances naturally occurring in fruits and veggies, as well as in nuts, grains, and some meat, poultry, and fish -beta-carotene, vitamin A, C, E, and selenium are some of most commonly known antioxidants -can slow/prevent development of cancer -beta-carotene: precursor to vitamin A, functions as fat-soluble antioxidant which protects body from deleterious free-radical rxns A nurse is reviewing a patient's repeat lab results for hours after administering fresh frozen plasma. Which of the following lab results for the nurse review? - ANSWERprothrombin time (PT_ -FFP is plasma rich in clotting factors and is administered to treat acute clotting disorders -desired effect: decrease in PT -review WBC's if there's possible infection -review platelet count following admin of platelets -review HCT following admin of packed RBC's A nurse is assessing a patient who has right-sided heart failure. Which of the following findings should the nurse expect? - ANSWERdependent edema -blood return from venous system to R atrium is impaired by weakened R heart -consecutive systemic venous backup leads to development of dependent edema -Left-sided HF: pts w/ this disorder have decreased cardiac output which causes decreased capillary refill; blood returns from lungs via pulmonary vein is slowed, causing fluid buildup in lungs that results in SOB; dizziness can occur d/t decreased cardiac output A nurse is administering a unit of packed red blood cells to a patient who is postoperative. The patient reports itching and has hives 30 minutes after the infusion begins. Which of the following actions should the nurse take first? - ANSWERstop infusion -Priority: b/c pt has manifestations of allergic rxn -nurse should maintain IV access by initiating infusion of 0.9% sodium chloride solution using a new IV administration set -nurse should send blood container and tubing to blood bank for a repeat typing and culture