A patient with megaloblastic anemia is being treated in an inpatient setting and has daily blood work ordered. This morning's blood work has become available, and the patient's hemoglobin and hematocrit are continuing to trend downward
The nurse has contacted the patient's health care provider to determine whether the health care provider wants to order a transfusion of packed red blood cells (PRBCs). When considering the efficacy of this treatment the nurse should understand that:
A) A transfusion of PRBCs may have the potential to create fluid volume overload and pulmonary edema.
B) The patient's body is likely to destroy the transfused red cells soon after they are transfused.
C) The patient is deficient in oxygen-carrying capacity more than in the absolute number of RBCs.
D) The patient will require multiple transfusions over several days to achieve an increase in Hgb and Hct.
A
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Recommendations for career success from experienced nurses include all of the following EXCEPT:
A) Find a mentor. B) Recognize that health-care is a business. C) Communicate effectively. D) Don't take risks in the workplace.
What amount of weight loss over 36 months is associated with increased mortality among older adults living in the community?
A) 1% B) 3% C) 5% D) 10%
The nurse recognizes that a child with cerebral palsy who has jerky movements and scissoring of the legs has the type of cerebral palsy classified as:
a. Mixed b. Athetoid c. Spastic d. Dyskinetic
A UAP reports to you that a pt with acute kidney failure has had a urine output of 350ml over the past 24 hrs after receiving furosemide 40mg IV push. The UAP asks you how this can happen. What is your best response?
a. during the oliguric phase of acute kidney failure, pts often don't respond well to either fluid challenges or diuretics b. there must be some sort of error. Someone must have failed to record the urine output c. a pt with acute kidney failure retains sodium and water, which counteracts the action of the furosemide d. the gradual accumulation of nitrogenous waste products results in the retention of water and sodium