The nurse is administering the second unit of whole blood to an older adult client who was admitted yesterday with gastrointestinal (GI) bleeding. Which parameters should the nurse monitor that indicate fluid overload?

Bounding pulse, hypertension, and distended neck veins.

Thready pulse, hypotension, and chest or back pain.

Urticaria, itching, and wheezing.

Chills, fever, and tachycardia.

Answer and Explanation

The Correct Answer is A

Choice A reason:

The correct answer is a) because a bounding pulse, hypertension, and distended neck veins are signs of fluid overload, which can occur during blood transfusions, especially in older adults.

Choice B reason: A thready pulse, hypotension, and chest or back pain are more indicative of shock or severe anemia rather than fluid overload.

Choice C reason: Urticaria, itching, and wheezing suggest an allergic reaction, not fluid overload.

Choice D reason: Chills, fever, and tachycardia can indicate a febrile or transfusion reaction but are not specific to fluid overload.

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Correct Answer is ["0.2"]

Explanation

Calculation steps:

Step 1: Identify the dosage required. 10 mg

Step 2: Identify the concentration available. 50 mg/mL

Step 3: Calculate the volume to be administered. 10 mg ÷ 50 mg/mL

Result: 0.2 mL

A. Eat high-potassium foods. B. Select a protein-rich food daily. C. Avoid foods high in carbohydrates. D. Restrict sodium intake.

Correct Answer is D

Explanation

Choice A reason: High-potassium foods should be monitored but are not the primary concern for AGN.

Choice B reason: Protein intake should be managed but not necessarily increased.

Choice C reason: Avoiding high-carbohydrate foods is not specific to AGN management.

Choice D reason:

The correct answer is d) because restricting sodium intake helps manage fluid retention and hypertension, which are common issues in AGN.

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The nurse is administering the second unit of whole blood to an older adult client who was admitted yesterday with gastrointestinal (GI) bleeding. Which parameters should the nurse monitor that indicate fluid overload?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is to receive progesterone 10 mg IM daily. The medication is labeled "Progesterone 50 mg/mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["0.2"]

Explanation

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Correct Answer is D

Explanation

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