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60. Which interventions should be implemented to prevent a hemolytic transfusion reaction? (Select all that apply)

17. Connor is a 15-month-old male brought in by his mother for a 6-day history of extreme irritability, red eyes, swelling of hands and feet, and fever. Conner was admitted to the pediatric unit with a diagnosis of Kawasaki Disease. Subjective Data:Mom states pt. has been extremely irritableRefuses to drink, states his mouth hurtsFever for 6 daysObjective Data:Weight: 22kgVital Signs: T 104°F (40°C), P 110, R 30, BP 102/60Non-purulent conjunctitis bilaterallyExtremities edematous with erythema noted to palms and solesGeneralized erythematous rash noted to trunkEnlarged cervical lymph nodes on exam Conner is scheduled for an echocardiogram. The mother asked “what will the test do”? Which explanation by the nurse is best?     

34. A client with suspected neurogenic shock after a diving accident has arrived in the emergency department with a cervical collar is in place. Which actions should the nurse take? (Select all that apply.)

A client is admitted in a manic episode of bipolar I disorder. Which nursing intervention should be most therapeutic for this client?

A client diagnosed with bipolar disorder, who has taken lithium carbonate (Lithane) for 1 year, presents in an emergency department with severe diarrhea, blurred vision, and tinnitus. How should the nurse interpret these symptoms?

31. A patient is receiving vasopressin to treat septic shock. Which assessment finding would indicate a need to immediately contact the health care provider? 

40.  Which hemodynamic parameter best reflects the effectiveness of drugs that the nurse administered to reduce a client’s left ventricular afterload?

56. A client who has a history of transfusion-related acute lung injury (TRALI) is to receive a transfusion of packed red blood cells (PRBCs). Which action by the nurse will decrease the risk for TRALI for this patient?

49. After surgery for an abdominal aortic aneurysm, a client’s central venous pressure is 2 mm/Hg. Which action should the nurse take?

46. While waiting for heart transplantation, a client with severe cardiomyopathy has a ventricular assist device (VAD) implanted. What should be included in the plan of care for this client?