Video Library
Ati lpn med surg lv3 heme/ lymph
Total Questions : 25
Showing 10 questions, Sign in for moreThe nurse is triaging several patients in an urgent care center. One patient states that he has hemophilia and is bleeding, with of bleeding. Which priority action by the nurse is most appropriate at this time?
0930:
Child is awake and alert, but not talkative. Child developed a fever last evening and has manifestations of an upper respiratory infection. Guardians brought child to the oncology outpatient clinic today. Guardians report child received their last dose of chemotherapy 3 weeks ago and child's sibling has a mild upper respiratory infection.
1000:
Breath sounds are equal with bilateral rhonchi in upper lobes. Mild subcostal retractions are noted. Large amount of clear nasal drainage is noted. Child's skin is pale, small bruises are noted on trunk and thighs. Child states, "I feel like I can't breathe." Bed raised to high-Fowler's. oxygen applied, and provider notified.
0900:
Temperature 38° C (100° F)
Heart rate 90/min
Respiratory rate 22/min
Blood pressure 106/70 mm Hg
Oxygen saturation 97% on room air
1000:
Temperature 38.5° C (101.3" F)
Heart rate 108/min
Respiratory rate 30/min
Blood pressure 102/72 mm Hg
Oxygen saturation 90% on room air
1000:
WBC count 5.000/mm3 (5.000 to 10,000/mm3)
RBC count 3.6 (4.0 to 5.5)
Hgb 10 g/dL (10 to 15.5 g/dL)
Hct 32% (32% to 44%)
A pediatric nurse is assisting with the care of a school-age child who has leukemia
Which of the following data collection findings should the nurse report to the provider? Select the 5 findings that should be reported to the provider.
A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
Use the formula:
Flow rate (gtt/min) = (Volume to infuse × Drop factor) ÷ Time (minutes)
Convert hours to minutes: 6 hr × 60 min/hr = 360 min
Flow rate = (1,000 mL × 10 gtt/mL) ÷ 360 min
Flow rate = 10,000 ÷ 360
Flow rate ≈ 27.78
Round to the nearest whole number: 28 gtt/min
A nurse is assisting with the care of a client who is receiving a blood transfusion. The nurse should monitor for which of the following findings as an indication the client is having an acute hemolytic reaction?
A nurse is calculating a client's fluid intake over the past 8 hr. The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of soda. The client's water pitcher had 800 mL and 200 mL remain. The client also had IV fluids infusing at 40 mL/hr via an IV pump. How many mL should the nurse document as the client's total intake for the shift?
Explanation
Intake Sources:
- Coffee: 8 oz
- Juice: 3 oz
- Soda: 12 oz
- Water from pitcher: 800 mL − 200 mL = 600 mL
- IV fluids: 40 mL/hr × 8 hr = 320 mL
Step 1: Convert ounces to mL (1 oz ≈ 30 mL)
- Coffee: 8 × 30 = 240 mL
- Juice: 3 × 30 = 90 mL
- Soda: 12 × 30 = 360 mL
Step 2: Add all intake
240 + 90 + 360 + 600 + 320 = 1,610 mL
Answer: 1,610 mL
A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?
The nurse is assisting in the development of a care plan for a patient with pernicious anemia. Which of the following would be the most common nursing diagnosis with this medical condition?
A nurse is reviewing laboratory findings for a client admitted with multiple myeloma. The nurse should expect to see an increase in which of the Following laboratory tests?
The nurse is caring for a patient with stage IV Hodgkin disease. Where should the nurse expect to find enlarged lymph nodes during the assessment?
The nurse is caring for a patient in sickle cell crisis. What is the rationale for providing warm compresses and blankets for this patient?
Sign Up or Login to view all the 25 Questions on this Exam
Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
