Which gauge IV cannula should the nurse choose when preparing to initiate a blood transfusion?

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Question 1 of 5

Which gauge IV cannula should the nurse choose when preparing to initiate a blood transfusion?

Correct Answer: A

Rationale: An 18-gauge IV cannula is the most appropriate choice when preparing to initiate a blood transfusion. This larger size allows for the rapid administration of blood products, which is important to prevent clotting and ensure a stable flow of the transfusion. Smaller gauge sizes, such as 22, 24, or 28, may be too slow for transfusion purposes and could potentially lead to delays or complications during the procedure. Therefore, the optimal choice for initiating a blood transfusion is an 18-gauge IV cannula.

Question 2 of 5

Which factor most impacts the type of injury a child is susceptible to, according to the child's age?

Correct Answer: B

Rationale: The developmental level of the child most impacts the type of injury they are susceptible to based on their age. As children grow and develop, their physical abilities, cognitive skills, and understanding of the environment change. Younger children may be more susceptible to injuries related to exploration and lack of awareness of dangerous situations, while older children may be more prone to injuries during physical activities or sports. Understanding the developmental stage of a child is crucial in assessing potential risks and implementing appropriate safety measures to prevent injuries.

Question 3 of 5

During the routine exam of an infant the parents state a 5th degree family history of adenomatous polyposis. The statement that should be included during the discussion is the infant is at increased risk of colonic adenocarcinoma

Correct Answer: C

Rationale: Familial adenomatous polyposis significantly increases the risk of developing colorectal cancer.

Question 4 of 5

A 70-year old male diagnosed with BPH (benign prostatic hyperplasia) asks the nurse about his disease. The best response would be:

Correct Answer: C

Rationale: Option C, "As you age, hormonal imbalances are the more likely cause of your disease," is the best response. Benign prostatic hyperplasia (BPH) is a common condition in aging men characterized by an enlarged prostate gland. It is predominantly influenced by hormonal changes, specifically the imbalance between levels of testosterone and estrogen as men age. This hormonal imbalance leads to the proliferation of prostatic tissue and subsequent enlargement of the prostate gland, causing symptoms such as urinary frequency, urgency, weak stream, and difficulty emptying the bladder. Chronic infection of the urinary tract (Option A) and chronic cigarette smoking (Option B) are not the primary causes of BPH. While chronic obstruction of the bladder due to a stone (Option D) can cause similar symptoms to BPH, the underlying etiology of BPH is related to hormonal changes associated with aging.

Question 5 of 5

Why is heart biopsy performed throughout a clients lifetime after heart transplantation?

Correct Answer: A

Rationale: Heart biopsy is performed throughout a client's lifetime after heart transplantation mainly to detect rejection. Rejection is a common complication following a heart transplant where the recipient's immune system recognizes the transplanted heart as foreign tissue and attacks it. By conducting heart biopsies, healthcare providers can monitor the health of the transplanted heart and detect signs of rejection early on. This allows for prompt intervention and adjustment of the client's immunosuppressive therapy to prevent further damage to the transplanted heart. Monitoring for rejection through heart biopsies is crucial in ensuring the long-term success of heart transplants and the overall well-being of the recipient.

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