NCLEX SATA Questions: Pharmacological and Parenteral Therapies June 2, 2015 By Rana Waqar Leave a Comment 1. A client is admitted for gastrointestinal bleeding. He has a platelet count of 15,000/mm and platelets have been ordered from the blood bank. Which of the following does the nurse know are required for platelet transfusions? Select all that apply.* 1. ABO compatibility 2. Rh compatibility 3. Crossmatching 4. A specialized platelet filter 2. The nurse aspirates a central venous catheter prior to drug administration but is not able to verify blood return. The nurse does not feel resistance when flushing or see any fluid leakage, swelling, or redness around the catheter site. Which of the following does the nurse know are appropriate steps? Select all that apply.* 1. Flush the catheter with saline, using a 10-mL syringe and a push-pull technique. 2. Request that the client cough and reattempt aspiration. 3. Administer IV medication and observe for signs and symptoms of catheter malfunction. 4. Follow institutional protocol to initiate a declotting protocol. 3. A 60-year-old woman with anorexia nervosa is having an indwelling central venous access device placed in preparation for total parenteral nutrition (TPN) administration. Which of the following factors does the nurse know accounts for the client’s increased risk of thrombophlebitis with a peripheral intravenous line? Select all that apply.* 1. Age 2. Hypertonicity of the TPN 3. Hypotonicity of the TPN 4. Poor peripheral venous access Δ
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