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A nurse is assessing a patient who is receiving a platelet transfusion. Which of the following findings is an adverse effect of the transfusion?

Nystagmus.

Bradycardia.

Chills.

Hypothermia.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Nystagmus, which is involuntary eye movement, is not a common adverse effect of a platelet transfusion.

Choice B rationale

Bradycardia, or a slow heart rate, is not typically associated with platelet transfusions.

Choice C rationale

Chills can be an adverse effect of a platelet transfusion. This could be a sign of a reaction to the transfusion, such as an allergic reaction or a febrile non-hemolytic transfusion reaction.

Choice D rationale

Hypothermia is not a common adverse effect of a platelet transfusion.

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Correct Answer is B

Explanation

Choice A rationale

The Scale for Assessment of Negative Symptoms (SANS) is a tool used to assess negative symptoms in schizophrenia and is not typically used in the assessment of cognitive disorders.

Choice B rationale

The Mental Status Examination (MSE) is a key part of the clinical assessment process in psychiatric practice. It is a structured way of observing and describing a patient’s current state of mind, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and judgement.

Choice C rationale

The Abnormal Involuntary Movements Scale (AIMS) is a rating scale that measures involuntary movements known as tardive dyskinesia (a side effect of long-term use of antipsychotic drugs). It is not typically used in the assessment of cognitive disorders.

Choice D rationale

The Mini-Mental State Examination (MMSE) is a commonly used test for complaints of memory problems or when a diagnosis of dementia is being considered. However, in this case, the MSE would be a more comprehensive tool.

A. Pick up the bottle with the label facing the palm. B. Pour the solution onto the gauze. C. Pour 1 to 2 mL into a receptacle. D. Perform hand hygiene. E. Place the bottle cap face-up on a clean surface. F. Remove the bottle cap.

Correct Answer is D,A,F,C,E,B

Explanation

The correct sequence for pouring a sterile solution is: D, A, F, C, E, B

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A nurse is assessing a patient who is receiving a platelet transfusion. Which of the following findings is an adverse effect of the transfusion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting an elderly patient suspected of having a cognitive disorder. What inventories should be included as part of the admission assessment?

Correct Answer is B

Explanation

A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution?

Correct Answer is D,A,F,C,E,B

Explanation

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