The nurse is called to look at a patient's peripheral IV site after a dose of vancomycin (Vancocin®). The site is red and swollen with blistering, and the patient reports a burning/stinging pain. The medication infused with difficulty the last time it was given. The nurse knows that this patient's IV site is likely displaying signs of: a. extravasation. b. infiltration. c. normality. d. phlebitis.
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- A nurse is administering a blood transfusion for a patient following surgery. During the transfusion, the patient dis-plays signs of dyspnea, dry cough, and pulmonary edema. What would be the nurse’s priority actions related to thesesymptoms?a. Slow or stop the infusion; monitor vital signs, notify thephysician, place the patient in upright position with feetdependent.b. Stop the transfusion immediately and keep the vein openwith normal saline, notify the physician stat, administerantihistamine parenterally as needed.c. Stop the transfusion immediately and keep the veinopen with normal saline, notify the physician, andtreat symptoms.d. Stop the infusion immediately, obtain a culture of thepatient’s blood, monitor vital signs, notify the physician,administer antibiotics stat.A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included in the nursing care plan? A. Monitor for fever every 4 hours. B. Require visitors to wear respiratory masks and protective clothing. C. Consider transfusion of packed red blood cells. D. Check for signs of bleeding, including examination of urine and stool for blood.Explain each: Why observe the following when doing ETS blood collection? a. Expiry date of blood collection tube b. Proper assembly of adapter, needle, and collection tubes Cleaning of puncture site in an inward to outward circular motion c. Puncture site after antiseptic has air dried d. Mixing blood and no pre-labelling of collection tubes e. Removal of tourniquet prior to needle drawing from vein f. Applying pressure to the site after blood collection
- When administering a cytotoxic agent through the direct IV push method, the nurse: A. allows for compatible IV solution to flow freely. B. flushes the line with sterile solution before administration. C. attaches the syringe to the injection port farthest from a patient. D. aspirates for blood returns every 2 – 5 mlA nurse is preparing to connect the tubing of an intermittent infusion bag (an antibiotic) to a patient's primary IV line. What should the nurse do first? Select one: a. flush the line using a pulsating method, using force. b. hang the piggyback infusion below the main IV bag. c. wipe the needleless connector port for 15 seconds with an alcohol swap d. flush the IV with heparin to prevent clotting.The hsTn allows for greater ability to detect cTn near the level of detection in patients with chronic health issues. Patients who are rules out for MI should be tested: 1) >2 hours after the onset of chest discomfort 2) The rule out period should be extended past one value at presentation. 3) All of these are correct no references, just homework
- A nurse is caring for a 46-year-old patient admitted with a diagnosis of Chronic Lymphocytic Leukemia (CLL). As part of the treatment regimen, the patient is scheduled for a bone marrow transplantation. The nurse is reviewing the patient’s education plan concerning the procedure. Which of the following statements about bone marrow transplantation is NOT correct? A. The patient will be under local anesthesia during the procedure. B. The harvested bone marrow will be treated with heparin to prevent clotting. C. The bone marrow is typically aspirated from the posterior or anterior iliac crest. D. The patient will receive cyclophosphamide (Cytoxan) for 4 consecutive days prior to the procedure. E. A series of chemotherapy and/or radiation therapy may be administered before the transplantation. F. The patient will be placed in protective isolation following the transplant to reduce the risk of infection.A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed? A. The patient is somnolent with decreased response to the family. B. The patient suddenly complains of chest pain and shortness of breath. C. The patient has developed a wet cough and the nurse hears crackles on auscultation of the lungs. D. The patient has a fever, chills, and loss of appetite.For a patient receiving a vasoactive drug such as intravenous dopamine, which action by the nurse is most appropriate? a) Monitor the gravity drip infusion closely, and adjust as needed. b) Assess the patient’s cardiac function by checking the radial pulse. c) Assess the intravenous site hourly for possible infiltration. d) Administer the drug by intravenous boluses according to the patient’s blood pressure
- The nurse is preparing to add a dose of bevacizumab (Avastin) to a patient’s intravenous infusion. The dose is 70 mg of bevacizumab in 100 mL of normal saline, and it is to infuse over 90 minutes. The nurse will set the infusion pump to what rate for this dose?It is never ok to administer medications from the same syringe to more than one patient, even if the needle is changed or you are injecting through an intervening length of IV tubing but it is ok to reuse syringes for compounding an iv medication Question options: A) True B) FalsePlease explain in detail Mike Lawrence, age 68, came to the emergency department complaining of chest pains, pain in the left shoulder, and pain radiating down his left arm. The healthcare worker heard the patient state that he has a pacemaker, he had a stroke a couple of years ago, and he is being treated with anticoagulant therapy. Mike had some bruising on his arms. The health care worker has been asked to collect blood specimens from the patient. Q1. With this limited information, what clues would the healthcare worker have about mike's condition? Q2. What problems might be anticipated with this patient?