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Extract:

Anaphylactic shock is a serious type of blood transfusion reaction.


Question 1 of 5

The pathophysiology of anaphylaxis is

Correct Answer: D

Rationale: Anaphylaxis involves vasodilation and bronchoconstriction, leading to hypotension and respiratory distress.

Extract:


Question 2 of 5

The school nurse is teaching a group of preschool mothers about poison prevention in the home. Which of the following statements, if made by a mother to the nurse, indicates that further teaching is necessary?

Correct Answer: B

Rationale: Inducing vomiting after ingesting hydrocarbons like lighter fluid is contraindicated due to the risk of aspiration, which can cause severe lung damage.
Choice A is correct (Ipecac dosing is appropriate), choice C is accurate (dilution can help), and choice D is true (locked storage prevents poisoning). Further teaching is needed for choice B.

Question 3 of 5

What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?

Correct Answer: C

Rationale: The appropriate ratio for adult CPR is 15 compressions to 2 ventilations.

Question 4 of 5

The nurse is taking a health history from a Native American client. It is critical that the nurse must remember that eye contact with such clients is considered

Correct Answer: B

Rationale: Rude. Native Americans consider direct eye contact to be impolite or aggressive among strangers.

Extract:

Ms. L had a C-section done. She delivered a healthy baby boy. On her 1st post operative day, Ms. L's roommate called the nurse & reports that Ms. L was very anxious & pale looking. Other clients were in Ms. L's room trying to help out. Upon assessment, her BP was 80/60, HR 110bpm.


Question 5 of 5

The top nursing priority includes:

Correct Answer: A

Rationale: Hypotension and tachycardia suggest postpartum hemorrhage, requiring immediate physician notification.

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