The client had an acute hemolytic transfusion reaction following the administration of blood products. The nurse is aware that the causes of this type of reaction are which of the following? (Select all that apply.)
a. reaction to donor leukocytes
b. recipient antibodies against donor antigens
c. too rapid flow rate for client's cardiovascular system
d. incompatible blood product transfused
D
An acute hemolytic transfusion reaction is caused from incompatible blood product transfused, nonhemolytic transfusion reactions are caused by reaction to donor leukocytes, allergic reactions are caused by recipient antibodies against donor antigens, and circulatory overload is caused by too rapid flow rate for a client's cardiovascular system.
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A nurse teaches a health education class for second graders in a rural community. Which information should be provided to reduce the incidence of helminthiasis?
a. "Do not share hair combs and brushes with your friends." b. "You should only drink milk that is very cold." c. "Wash your hands after going to the restroom and before eating." d. "You should never chew on a pencil."
Phenytoin (Dilantin) has a narrow therapeutic index. The nurse recognizes that this characteristic indicates which of these?
a. The safe and the toxic plasma levels of the drug are very close to each other. b. The phenytoin has a low chance of being effective. c. There is no difference between safe and toxic plasma levels. d. A very small dosage can result in the desired therapeutic effect.
You are caring for a patient diagnosed with catatonic-type schizophrenia. This is rare, and the patient will be an in-house admission for at least a week to get medications and treatment assessed
You note on rounds that the patient is on the bed in fetal position. Which of the following nursing interventions is most appropriate? A) Observe periodically and touch gently on shoulder. B) Observe periodically and do not touch the patient. C) Intensely communicate with the patient by asking direct and open-ended questions. D) Sit quietly with patient and ask occasional open-ended questions.
A nurse is explaining the difference between an acquired disorder and a genetic disorder to a couple during genetic counseling. Which of the following would the nurse use as examples of genetic diseases? Select all that apply
A) Neurofibromatosis B) Fetal alcohol syndrome C) Tay-Sachs disease D) Neonatal abstinence syndrome E) Down syndrome F) Sickle cell disease