Exam 63: Perfusion

A new nurse asks the RN why blood needs to be hung within 30 minutes after leaving the blood bank. Which is the most appropriate answer by the nurse?

The client diagnosed with anemia has the following lab results: hemoglobin 7.8 g/dL, platelets 150,000, white blood cells 4.7, and hematocrit 23.4%. Which lab result indicates the transfusion worked after receiving 2 units of packed red blood cells?

The nurse is providing care to a client with a history of a diagnosis of heart disease who has been placed on a telemetry monitor. The nurse observes an irregular rhythm on the monitor. Which is the first action the nurse should implement?

A nurse is providing care to a client with a temporary pacemaker. The nurse observes a spike on the ECG. What should the nurse do first?

The nurse is providing care to a client who has a sequential compression device (SCD)on both legs and is complaining of numbness and tingling in the left leg. Which is the first action the nurse should implement?

How will the nurse know that the electrodes have been placed properly?

The nurse is administering a blood transfusion to a client. Which should the nurse implement first when a client is complaining of chills and back pain within the first 15 minutes of this transfusion?

The nurse is reading a 12-lead recording. Which lead will the nurse review as the best for monitoring atrial functioning?

How should the nurse calculate the heart rate from a rhythm strip?

The nurse is providing care to a client with a history of a diagnosis of organic heart disease. The nurse received a phone call from the telemetry base station and reported a reading of ventricular rate <40 beats/min from the Purkinje fibers. After the nurse checks the client, what should the nurse do next?

A client asked the nurse "Why do I need to have this transcutaneous pacemaker?" Which is the most appropriate response by the nurse?

A client receiving a blood transfusion begins to have difficulty breathing and complains of itchiness. What action should the nurse instruct a new graduate RN to take first?

Before removing a unit of blood from the blood bank, what should the nurse ask first?

The nurse is providing care to a client who has signs of pacemaker failure. Which will the nurse document for pacemaker failure? Select all that apply.

The nurse observes an irregular chaotic rhythm. Which arrhythmia should the nurse document?

A nurse is providing care to a client on complete bed rest. Which is the best explanation by the nurse as to the function of sequential compression devices?

Which dysrhythmia is considered life threatening?

The nurse is placing electrodes on a client. Which is the correct placement of a 3-lead telemetry?

The nurse receives a prescription to administer blood stat to a client receiving total parenteral nutrition (TPN). Which is the first action the nurse should implement?

The RN is precepting a new graduate RN who is preparing to transfuse blood. For which action by the new graduate nurse will the nurse intervene immediately?