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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The patient’s blood pressure is significantly low, which could indicate hypotension, a serious side effect of epidural analgesia. This should be the nurse’s priority as it can lead to complications such as decreased perfusion to vital organs.
Choice B rationale
Lower extremity weakness can be a side effect of epidural analgesia, but it is not as immediately life-threatening as hypotension.
Choice C rationale
A slight increase in temperature may not be an immediate concern unless it continues to rise or is accompanied by other signs of infection.
Choice D rationale
Severe itching can be a side effect of epidural analgesia, but it is not as immediately life- threatening as hypotension.
Correct Answer is ["2"]
Explanation
Step 1: Determine the amount of medication needed. The order is for 20 mEq of potassium chloride. The available amount is 10 mEq/mL.
Step 2: Calculate the volume of medication to administer. Volume = Ordered dose ÷ Available concentration Volume = 20 mEq ÷ 10 mEq/mL = 2 mL So, the nurse should administer 2 mL of potassium chloride suspension.
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