A nurse is caring for a client who is receiving a blood transfusion.

The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins.

The nurse should anticipate administering which of the following prescribed medications?

Diphenhydramine.

Furosemide.

Acetaminophen.

Pantoprazole.

Answer and Explanation

The Correct Answer is B

“Furosemide.” The nurse should anticipate administering furosemide because the client’s symptoms of bounding peripheral pulses, hypertension, and distended jugular veins may indicate fluid overload.
Furosemide is a diuretic medication that can help reduce fluid overload by increasing urine output.
Choice A is incorrect because diphenhydramine is an antihistamine medication that is not used to treat fluid overload.
Choice C is incorrect because acetaminophen is a pain reliever and fever reducer that is not used to treat fluid overload.
Choice D is incorrect because pantoprazole is a proton pump inhibitor that is used to treat acid reflux and stomach ulcers, not fluid overload.

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Correct Answer is C

Explanation

A saw-tooth pattern with an atrial rate of 250 to 400/min is a characteristic finding on a cardiac rhythm strip of a client who has atrial flutter.
Choice A is incorrect because progressively longer PR durations are characteristic of a Mobitz type I second-degree AV block, not atrial flutter.
Choice B is incorrect because undetectable P waves are characteristic of atrial fibrillation, not atrial flutter.
Choice D is incorrect because absent PR intervals with a ventricular rate of 40 to 60/min are characteristic of third-degree AV block, not atrial flutter.

A. Apply pressure to venipuncture sites for 10 min. B. Move the client to a negative pressure room. C. Instruct the client to avoid eating raw fruit. D. Use contact isolation while providing care.

Correct Answer is C

Explanation

Instruct the client to avoid eating raw fruit.
A low white blood cell count can be caused by cancer or cancer treatment and can increase the risk of infection.
One precaution that can be taken is to avoid all pre-cut fresh fruits and vegetables in delis, restaurants, and grocery stores.
Choice A Applying pressure to venipuncture sites for 10 min is not necessary for a low WBC count.
Choice B Moving the client to a negative pressure room is not necessary for a low WBC count.
Choice D Contact isolation while providing care is not necessary for a low WBC count.

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A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications?

Nursing Test Bank

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A nurse is caring for a client who is receiving a blood transfusion.

The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins.

The nurse should anticipate administering which of the following prescribed medications?