RNSG 2539 EXAM 2 LATEST ACTUAL EXAM 228 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
RNSG 2539 EXAM 2 LATEST 2023-2024 ACTUAL
EXAM 228 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A patient with a recent diagnosis of ITP has asked the nurse why the
care team has not chosen to administer platelets, stating, ‘I have low
platelets, so why not give me a transfusion of exactly what I’m missing?’
How should the nurse best respond?
A) ‘Transfused platelets usually aren’t beneficial because they’re rapidly
destroyed in the body.’
B) ‘A platelet transfusion often blunts your body’s own production of
platelets even further.’
C) ‘Finding a matching donor for a platelet transfusion is exceedingly
difficult.’
D) ‘A very small percentage of the platelets in a transfusion are actually
functional.’ – ANSWER- A) ‘Transfused platelets usually aren’t
beneficial because they’re rapidly destroyed in the body.’
In immune thrombocytopenia purpura (ITP), the client has what type of
disorder that primarily destroys which blood component?
A) Allergic; fibrinogen
B) Alloimmune; factor VIII
C) Autoimmune; platelets
D) Immunoglobulin; B cells – ANSWER- C) Autoimmune; platelets
A client has been admitted for immune thrombocytopenic purpura. The
client has not responded to corticosteroid treatment. The priority nursing
intervention for this client would include which of the following
treatment measures?
A) Place the client in isolation, so the skin rashes will not spread to other
clients.
B) Insert an intravenous catheter, so immune globulin can be
administered in a timely manner.
C) Insert a Foley catheter to monitor hourly urine output.
D) Prepare a surgical permit for an emergency splenectomy. –
ANSWER- B) Insert an intravenous catheter, so immune globulin can be
administered in a timely manner.
A nurse is admitting a patient with immune thrombocytopenic purpura
to the unit. In completing the admission assessment, the nurse must be
alert for what medications that potentially alter platelet function? Select
all that apply.
A) Antihypertensives
B) Penicillins
C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs – ANSWER- C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs
A client was started on a protocol for the prevention of deep vein
thrombosis shortly after admission and has been receiving 5000 units of
heparin twice daily for the last week. An immune response to this
treatment may increase the client’s chance of developing which health
problem?
A) Antiphospholipid syndrome
B) Disseminated intravascular coagulation (DIC)
C) Von Willebrand disease
D) Thrombocytopenia – ANSWER- D) Thrombocytopenia
When the nurse administers heparin it is anticipated the drug will have
what action on the patient’s body?
A) Binds to factor X
B) Blocks the formation of thrombin
C) Binds to factor Xa
D) Promotes the inactivation of factor VIII – ANSWER- B) Blocks the
formation of thrombin
The nurse is reviewing the laboratory test results of a pregnant client.
Which one of the following findings would alert the nurse to the
development of HELLP syndrome?
A) Hyperglycemia
B) Elevated platelet count
C) Leukocytosis
D) Elevated liver enzymes – ANSWER- D) Elevated liver enzymes
A woman is receiving magnesium sulfate as part of her treatment for
severe preeclampsia. The nurse is monitoring the woman’s serum
magnesium levels. Which level would the nurse identify as therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L – ANSWER- B) 6.1 mEq/L
A nurse is providing discharge education to a patient who has recently
been diagnosed with a bleeding disorder. What topic should the nurse
prioritize when teaching this patient?
A) Avoiding buses, subways, and other crowded, public sites
B) Avoiding activities that carry a risk for injury
C) Keeping immunizations current
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