Question

1. a nurse is assessing a client who has right lower lobe pneumonia. which of the...

1. a nurse is assessing a client who has right lower lobe pneumonia. which of the following findings should the nurse expect?

a. dull percussion sounds.

b. increased anteroposterior chest diameter.

c. distended neck veins.

d. pitting edema.

2. a nurse is assessing a client who is receiving a blood transfusion. which of the following findings indicates the client might be experiencing a hemolytic transfusion reaction?

a. hypertension.

b. report of urticaria.

c. distended neck veins.

d. report of chest pain.

3. a nurse is reviewing a client's medical record prior to administering furosemide via IV bolus to a client who has heart failure. for which of the following findings should the nurse withhold the medication and notify the provider?

a. hypokalemia.

b. hypernatremia.

c. hypoglycemia.

d. hypermagnesemia.

Science   Nursing   
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Answer #1

1) Lobar pneumonia is characterized by consolidation of lung segment due to accumulation of inflammatory exudate.This consolidation leads to dull sound on  percussion in a lobar pattern. So the correct answer is option a. The other charecterestics are not associated with lobar pneumonia. Increase anteroposterior diameter is seen in COPD patient, distended neck vein is seen in pulmonary hypertension, pitting edema seen in heart failure and kidney failure .

2)Hemolytic transfusion reaction is the serious complications of blood transfusion.transfusion reaction is the destruction of red blood cell that are given via the bloodtransfusion by person's immune system. The main symptoms of transfusion reaction is urticaria (hives) so the correct answer is option b.. Other symptoms are not seeing in hemolytic transfusion reaction.

3)frusemide is the drug of choice for renal impairment and pulmonary edema. The main therapeutic action of this drug is restrict reabsorption of sodium and chloride and increase excretion of potassium .So frusemide should withhold in hypokalemic patient. Frusemide worsening the condition. Other options are not contraindicated in frusemide administration .So the correct answer is option a.

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