in any event of an adverse hemolytic reaction during blood transfusion nursing intervention should focus on
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Nursing Elites

ATI RN

ATI RN Nutrition Online Practice 2019

1. In any event of an adverse hemolytic reaction during blood transfusion, Nursing intervention should focus on:

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

2. What type of debridement involves proteolytic enzymes?

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

3. A nurse is discussing denture care with the partner of a client who is unable to perform oral hygiene. Which of the following should be included in the discussion?

Correct answer: C

Rationale: The correct answer is C: 'Wrap gloved fingers with gauze to remove dentures.' This method provides a safe and effective way to remove dentures without causing damage. Choice A is incorrect because flossing dentures is not recommended. Choice B is incorrect as it suggests wiping dentures and storing them dry, which is not the best practice. Choice D is incorrect because using a washcloth may not effectively clean all denture surfaces.

4. Which systolic blood pressure measurement is classified as prehypertension?

Correct answer: B

Rationale: According to the blood pressure classification, a systolic blood pressure between 120-139 mmHg is considered prehypertension. This range indicates an increased risk for developing hypertension if not managed appropriately. Therefore, a systolic blood pressure of 119 mmHg falls into the prehypertension category. A systolic pressure of 106 mmHg is within the normal range, while 130 mmHg and above would be classified as stage 1 and stage 2 hypertension respectively, not prehypertension.

5. Saturated fats are generally found in animal products with a few exceptions. Which of the following is a plant product that contains a large proportion of saturated fat?

Correct answer: D

Rationale: Coconut oil is a plant-based oil that is high in saturated fat, unlike most other plant oils, which are typically unsaturated.

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