ATI cardio + hematology

a nurse is preparing to transfuse 250ml of packed red blood cells (RBCs) to a client over 4 hr. available is a blood administration set that delivers 10gtt/ml. the nurse should set the manual blood transfusion to deliver how many gtt/min?

10 gtt/min

a nurse is caring for a client who has an abdominal aortic aneurysm and is scheduled for surgery. the client's vital signs are BP 160/98 mmHg, HR 102/min, R 22/min, and SpO2 95%. which of the following actions should the nurse take? a. administer antihypertensive medication for BP b. monitor that urinary output is 20 ml/hr c. withhold pain medication to prepare for surgery d. take vital signs q2h

a. administer antihypertensive medications for BP (the nurse should administer antihypertensive medication for the elevated BP because hypertension can cause a sudden rupture of the aneurysm due to pressure on the arterial wall

a nurse is caring for a client who is postop following vein ligation and stripping for varicose veins. which of the following actions should the nurse take? a. position the client supine with his legs elevated when in bed b. encourage the client to ambulate for 15 min every hour while awake for the first 24 hr c. tell the client to sit with his legs dependent after ambulating d. instruct the client to wear knee-length socks for 2 weeks after surgery

a. position the client supine with his legs elevated when in bed (the nurse should elevate the client's legs above his heart to promote venous return by gravity. during discharge teaching, the nurse should reinforce the importance of periodic positioning of the legs above the heart)

a nurse on a telemetry unit is caring for a client who has an irregular radial pulse. which of the following ECG abnormalities should the nurse recognize as atrial flutter? a. P waves occurring at 0.16 seconds before each QRS complex b. atrial rate of 300/min with QRS complex of 80/min c. ventricular rate of 82/min with an atrial rate of 80/min d. an irregular ventricular rate of 125/min with a wide QRS pattern

b. atrial rate of 300/min with QRS complex of 80/min (the nurse should interpret this finding as atrial flutter, which indicates a lack of communication between the atria and ventricles. the additional atrial beats are not conductiong)

a nurse is caring for a client who has hemophilia. the client reports pain and swelling in a joint following an injury. which of the following actions should the nurse take? a. obtain blood samples to test platelet function b. prepare for replacement of the missing clotting factor c. administer aspirin for the

b. prepare for replacement of the missing clotting factor