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31.  The doctor orders a Vasopressin drip 0.04 units/min. The pharmacy supplies a 20unit/100mL bag. What rate should be programed into the pump in mL/hr? (enter numerics only, mL/hr is assumed in your answer)

10.  While educating a mother about their infant’s congenital heart defect, you notice the mother has blood running down her leg. Palpation of her abdomen reveals a boggy uterus. She delivered her baby 16 hours ago. Which of the following actions should the nurse take?

1.   Situation A 65 year old male is admitted to the emergency department at 1600 for complaints of severe chest pain lasting two hours and shortness of breath on exertion. He arrived via local ambulance and paramedics administered 325 mg ASA p.o., en-route to the hospital.  The patient reports history of hypertension and tobacco use. The patient also reports having no other prior symptoms.  Vitals 1600: Blood pressure 98/58 mmHg on left arm, heart rate 80 bpm, temperature 99.6F, respirations 20 breaths/min and pulse ox 92% on room air.   An ECG was obtained and reveals the following rhythm:  Doctor Orders: Oxygen via nasal cannula @ 2LPM Nitroglycerin 0.4 mg Insert PIV Draw labs: Troponin, CBC, Lipid Panel, CMP   The nurse should recognize the client is exhibiting symptoms of which of the following conditions?

19.  Which chamber of the heart is responsible for pumping blood out to the body?

35.  Match the following diseases to their typical manifestations.

3. Situation A 65 year old male is admitted to the emergency department at 1600 for complaints of severe chest pain lasting two hours and shortness of breath on exertion.  He arrived via local ambulance and paramedics administered 325 mg ASA p.o. en-route to the hospital.  The patient reports history of hypertension and tobacco use. The patient also reports having no other prior symptoms.  Vitals 1630: Blood pressure 90/50 mmHg on left arm, heart rate 80 bpm, temperature 99.6F, respirations 20 breaths/min and pulse ox 92% on room air.   An ECG was obtained and reveals the following rhythm:  Doctor Orders: Oxygen via nasal cannula @ 2LPM Nitroglycerin 0.4 mg Insert PIV Draw labs: Troponin, CBC, Lipid Panel, CMP       What information would be most important for the nurse to convey to the client?

7. Situation: An infant is born with complications and the nurse notices the infant has bounding upper extremity pulses, cold feet, and severely diminished femoral pulses.  Vitals: Blood pressure 64/42 mmHg on right arm and 52/40 mmHg on the right leg, heart rate 158 bpm, temperature 98.6F, respirations 52 breaths/min and pulse ox 82% on left lower extremity.   Which of the following assessment findings should be reported to the provider? (select all that apply)

11.  The doctor orders an Aprostadil (PGE) 0.1 mcg/kg/min IV infusion for an infant. The infusion is supplied in a 500 mcg/100 mL bag. The infant is 3.5 kg. What rate should the pump be programed to infuse in mL/hr? (enter numerics only, mL/hr is assumed in your answer)

Patient RBCs tested with commercially prepared Patient plasma tested with commercially prepared Anti-A Anti-B A1 cells B cells 4+ 0 1+ 4+   Analyze and interpret the blood group typing results above for a 36-yr. old male patient. The test has been repeated tat the same results were obtained.  Identify this as a forward or reverse type discrepancy.  Next, indicate the most probable cause for the discrepancy, assuming there are not any technical or clerical errors, and the patient has not been recently transfused.  How would you attempt to resolve this discrepancy to confirm an ABO blood group type? Be specific in you answer.  Provide all test that would be performed as well as the expected results if your initial theory was correct.

A patient has a hemolytic transfusion reaction to red cells that were transfused 8 days ago.  What is the MOST likely cause of the reaction?