A patient, receiving a blood transfusion, begins to demonstrate signs of a transfusion reaction. The nurse realizes this patient is at risk for developing
1. disseminated intravascular coagulation.
2. hypertension.
3. renal calculi.
4. a urinary tract infection.
1
Rationale: Major risk factors for the development of acute disseminated intravascular coagulation include gram-negative sepsis, severe trauma or burns, shock, abruptio placenta, ABO incompatibility blood transfusion reaction, severe liver disease, and disseminating cancer or leukemia. Hypertension, renal calculi, and a urinary tract infection are not associated with the development of disseminated intravascular coagulation.
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What is the nurse's primary consideration about discontinuing administration of baclofen? A) "Taper drug over 72 hours to reduce dependence on the drug." B) "Alternate doses of baclofen and soma over 10 days to prevent drug withdrawal." C) "Taper drug slowly over 1 to 2 weeks to prevent psychoses and hallucinations." D) "Start carisoprodol immediately while continuing baclofen at full dose to establish carisoprodol level."
The nurse, studying principles of growth and development, realizes that bodily functions located further away from the body's midline develop:
a. before functions closer to the midline of the body. b. after functions closer to the midline of the body. c. in an orderly manner. d. from complex to simple.
The student nurse notices that the newborn seems to focus on his mother's eyes. The nursing instructor explains that this newborn behavior is:
1. Habituation. 2. Orientation. 3. Self-quieting. 4. Due to sleep-alert states.
A newborn is experiencing apneic episodes. The nurse should do which of the following when an episode occurs?
1. Give the newborn CPR 2. Stimulate the newborn by rubbing its back 3. Reposition the newborn 4. Hold the newborn