Accurate Solutions
A patient w/short bowel syndrome and malabsorption complains of
numbness & tingling around the mouth, muscle tremors, &
emotional irritability. Trousseau's sign & Chvostek signs are
positive. The electrolyte imbalance is: Correct Answer -
Hypocalcemia
A patient who is dialysis dependent missed the last dialysis
treatment and is now complaining of diarrhea, muscle twitching,
numbness and tingling on the face, tongue, and hands. The
significant other says the patient has also exhibited confusion. The
EKG shows wide QRS complexes with peaked T waves. The
electrolyte imbalance is: Correct Answer - Hyperkalemia
Hypomagnesemia is most similar in symptoms to: Correct Answer
- Hypocalcemia
Phosphate has a reciprocal or inverse relationship with which other
electrolyte? Correct Answer - Calcium
Which of the following statements is TRUE? Correct Answer -
Lactated Ringers is closest in electrolyte composition to normal
blood serum than other solutions
The physician ordered for a patient to receive one (1) unit of packed
RBCs. Type and cross match are complete, and the blood is available.
The blood is brought to the nursing unit and you realize that the
other person you need to check the blood with you will not be
available for at least an hour. What should you do? Correct
, Answer - Return the blood back to the blood bank until another
person as specified by policy is available.
Within five minutes after initiating a unit of packed RBCs, your
patient begins to have shaking, chills, complains of flank pain and is
very anxious. Vital signs show an elevated temperature of 102
degrees F. What type of reaction is most likely occurring? Correct
Answer - Acute hemolytic reaction
Which of the following statements is/are TRUE regarding blood
component therapy? Correct Answer - Whole blood and
packed RBCs may be infused for a maximum of four (4) hours
Which of the following is TRUE regarding blood transfusions using
special administration devices? Correct Answer - When using
an external pressure infusion cuff, the pressure should not exceed
300 mmHg
A patient is typed and cross matched for four units of packed cells
with two units to be given now. The patient's blood type is O+. What
type of blood can be safely transfused? Correct Answer - O+
When initiating a blood transfusion, the RN/MD should remain with
the patient for the: Correct Answer - First 15 mins
Documentation content for any type of transfusion reaction must
include: Correct Answer - Patient symptoms, nursing
interventions and patient response
You mix an I.V.P.B. and notice a precipitate forming. What kind of
incompatibility is occurring? Correct Answer - Physical
A therapeutic incompatibility is an overlapping effect of two drugs
given too close together. Correct Answer - True