A nurse is caring for a client in a medical-surgical unit.
The Correct Answer is []
Condition:
- Transfusion-associated circulatory overload (TACO)
Actions the Nurse Should Take:
- Stop transfusion (D): This is crucial to prevent further fluid overload and worsening symptoms.
- Administer furosemide (C): Furosemide is a loop diuretic that can help remove excess fluid and alleviate symptoms of fluid overload.
Parameters to Monitor:
- Weight (B): Monitor weight to assess for fluid retention and overload.
- Respiratory rate (C): Monitor respiratory rate closely for signs of respiratory distress such as dyspnea and increased effort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 1 cup canned black beans - Black beans are high in iron and an excellent dietary recommendation for someone with iron deficiency anemia.
B. 8 oz whole milk - While nutritious, milk is not a significant source of iron and can actually inhibit iron absorption due to its calcium content.
C. 1.5 oz raisins - Raisins do contain some iron, but the amount is relatively small compared to black beans. They are a good supplement but not the best primary source of iron.
D. 8 oz black tea - Tea contains tannins that can inhibit iron absorption, making it an unsuitable recommendation for someone needing to increase their iron levels.
Correct Answer is C
Explanation
A. Anorexia and malnutrition - While these may occur due to chemotherapy, they are not directly caused by myelosuppression.
B. Diarrhea and dehydration - These symptoms might be side effects of chemotherapy but are not specific to myelosuppression.
C. Bleeding from the gums - Myelosuppression can lead to thrombocytopenia (low platelet count), increasing the risk of bleeding, including from gums and other mucous membranes.
D. Full body alopecia - Alopecia is a common side effect of chemotherapy but is not related to myelosuppression.
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