Atrial Fibrillation and Blood Clotting Quiz
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Questions and Answers

What is a common complication associated with atrial fibrillation?

  • Pulmonary embolism
  • Hemorrhagic stroke
  • Deep vein thrombosis
  • Embolic stroke (correct)
  • What measurement indicates a potential issue with blood clotting?

  • Presence of petechiae (correct)
  • Elevation in hemoglobin levels
  • Improved blood flow
  • Increased platelet count
  • What should patients at risk for increased clotting do to minimize their risk?

  • Drink adequate fluids (correct)
  • Cross legs frequently
  • Avoid smoking cessation programs
  • Stay sedentary for longer periods
  • Which condition is most likely associated with excessive red blood cell production?

    <p>Polycythemia</p> Signup and view all the answers

    What are common sites for clots to form in venous thrombosis?

    <p>Leg veins</p> Signup and view all the answers

    What is the most likely symptom of mesenteric artery thrombosis?

    <p>Abdominal pain</p> Signup and view all the answers

    Which sign may indicate prolonged bleeding in patients with impaired clotting?

    <p>Petechiae</p> Signup and view all the answers

    What is the normal lab value range for potassium in mEq/L?

    <p>3.5–5.0</p> Signup and view all the answers

    Which of the following is a common cause of hyperkalemia?

    <p>Impaired renal excretion</p> Signup and view all the answers

    What is a primary health concern for patients experiencing internal bleeding?

    <p>Risk of hemorrhagic stroke</p> Signup and view all the answers

    Which symptom is NOT typically associated with hyperkalemia?

    <p>Increased intestinal motility</p> Signup and view all the answers

    What is a common medication that can cause hyperkalemia?

    <p>Spironolactone</p> Signup and view all the answers

    What action should be taken if IV infusion slows or stops due to a possible thrombus?

    <p>Discontinue IV access</p> Signup and view all the answers

    Which symptom would you use the mnemonic 'MURDER' to remember?

    <p>Symptoms of hyperkalemia</p> Signup and view all the answers

    How often should the VAD site be checked during continuous PICC infusions?

    <p>Every 4 hours</p> Signup and view all the answers

    Which of the following indicates a positive shift from IV fluid intake?

    <p>Transition to oral fluid intake</p> Signup and view all the answers

    How do centrally acting adrenergic drugs like clonidine reduce sympathetic outflow?

    <p>By stimulating alpha2-adrenergic receptors in the brain</p> Signup and view all the answers

    What is a characteristic effect of persistent pain on the sympathetic nervous system?

    <p>It generally does not trigger noticeable sympathetic responses.</p> Signup and view all the answers

    Which of the following correctly describes the primary effect of alpha2-adrenergic receptors when stimulated?

    <p>They inhibit sympathetic outflow, leading to decreased blood pressure.</p> Signup and view all the answers

    Which condition is indicated for the use of clonidine?

    <p>Acute hypertension crisis</p> Signup and view all the answers

    What is a common side effect of centrally acting adrenergic drugs like clonidine?

    <p>Dry mouth</p> Signup and view all the answers

    What distinguishes nociceptive pain from neuropathic pain?

    <p>Nociceptive pain results from skin or organ damage.</p> Signup and view all the answers

    Which of the following patient education points should be emphasized for those taking calcium channel blockers (CCBs)?

    <p>They may cause lower extremity edema.</p> Signup and view all the answers

    What is a critical nursing consideration when administering antihypertensives like clonidine?

    <p>Monitoring for rebound hypertension upon discontinuation.</p> Signup and view all the answers

    What is the primary cause of hypokalemia during chronic diarrhea?

    <p>Increased excretion of potassium</p> Signup and view all the answers

    What electrolyte imbalance can chronic diarrhea cause related to calcium levels?

    <p>Hypocalcemia due to increased excretion</p> Signup and view all the answers

    Which substance can decrease renal excretion of potassium, exacerbating hypokalemia?

    <p>Black licorice</p> Signup and view all the answers

    Which of the following accurately describes hypophosphatemia?

    <p>Caused by decreased phosphate absorption in the GI tract</p> Signup and view all the answers

    What factor can lead to decreased absorption of magnesium during chronic diarrhea?

    <p>Increased renal excretion</p> Signup and view all the answers

    What is the initial action a nurse must take if a blood transfusion reaction occurs?

    <p>Stop the transfusion immediately</p> Signup and view all the answers

    Which gauge needle size is appropriate for a standard blood transfusion?

    <p>18 to 20 gauge</p> Signup and view all the answers

    What is the recommended time frame for administering blood after its receipt?

    <p>Immediately upon receiving blood</p> Signup and view all the answers

    What should be monitored and documented frequently during a blood transfusion?

    <p>Patient's vital signs</p> Signup and view all the answers

    When managing a febrile nonhemolytic reaction, what should be administered to the patient?

    <p>Antipyretics</p> Signup and view all the answers

    In the case of an anaphylactic reaction, what should the healthcare provider have ready for immediate use?

    <p>Epinephrine</p> Signup and view all the answers

    What is a key nursing action to take after stopping a transfusion due to a reaction?

    <p>Change the administration set and keep IV access patent</p> Signup and view all the answers

    Which sign is essential to monitor for in patients during a blood transfusion to prevent complications?

    <p>Signs of acute kidney injury</p> Signup and view all the answers

    What is the first step to take when a transfusion reaction is suspected?

    <p>Stop the transfusion</p> Signup and view all the answers

    When dealing with a suspected hemolysis reaction, which action must be taken regarding IV tubing?

    <p>Replace the IV tubing down to the catheter hub</p> Signup and view all the answers

    What should be done with the blood bag and tubing after a transfusion reaction?

    <p>Save them for return to the Blood Bank</p> Signup and view all the answers

    What is an important monitoring task after a transfusion reaction is suspected?

    <p>Obtain blood and urine specimens per MD order</p> Signup and view all the answers

    Which population is at the highest risk for NSAID-related anemia?

    <p>Elderly individuals</p> Signup and view all the answers

    Which of the following gastrointestinal effects is NOT commonly associated with NSAID use?

    <p>Constipation</p> Signup and view all the answers

    In the event of an infusion reaction, which type of medication may be administered as needed?

    <p>Antihistamines</p> Signup and view all the answers

    What is a potential serious cardiovascular effect of NSAID use?

    <p>Increased risk of stroke</p> Signup and view all the answers

    After stopping a transfusion due to a suspected hemolysis reaction, what is crucial to maintain?

    <p>Keep the IV line open</p> Signup and view all the answers

    Which of the following is an adverse effect linked to NSAIDs primarily affecting the kidneys?

    <p>Acute kidney injury</p> Signup and view all the answers

    What symptom would raise suspicion for an acute transfusion reaction?

    <p>Sudden fever and chills</p> Signup and view all the answers

    Which hematologic effect can result from NSAID usage?

    <p>Altered hemostasis</p> Signup and view all the answers

    Which factor is critical in the management of transfusion reactions?

    <p>Immediate patient stabilization</p> Signup and view all the answers

    What is the primary characteristic of respiratory acidosis?

    <p>Decreased pH and increased CO2</p> Signup and view all the answers

    Which of the following describes metabolic alkalosis?

    <p>Increased bicarbonate with increased pH</p> Signup and view all the answers

    What does the mnemonic ROME stand for in acid-base interpretation?

    <p>Respiratory – Opposite, Metabolic - Equal</p> Signup and view all the answers

    What causes metabolic acidosis?

    <p>Loss of acid or excess acid, lowering pH</p> Signup and view all the answers

    What is a common condition associated with respiratory alkalosis?

    <p>Hyperventilation due to anxiety</p> Signup and view all the answers

    What indicates a respiratory disorder when interpreting ABGs?

    <p>CO2 and pH are opposite in values</p> Signup and view all the answers

    What is the normal range for blood pH in adults?

    <p>7.35 - 7.45</p> Signup and view all the answers

    Which condition results from an increase of CO2 due to ineffective lung function?

    <p>Respiratory acidosis</p> Signup and view all the answers

    What should be done to increase the absorption of ferrous sulfate?

    <p>Take it with 4 to 6 oz of water</p> Signup and view all the answers

    When should a patient take antacids in relation to ferrous sulfate intake?

    <p>2 hours before or after taking ferrous sulfate</p> Signup and view all the answers

    Which of the following foods is a good source of folate?

    <p>Spinach</p> Signup and view all the answers

    Why is adequate folate intake particularly important during pregnancy?

    <p>To prevent neural tube defects</p> Signup and view all the answers

    What defines anemia?

    <p>A reduction in the number of RBCs or hemoglobin</p> Signup and view all the answers

    Which of the following is an indicator of anemia for women?

    <p>Less than 12.0 g/dL of hemoglobin</p> Signup and view all the answers

    What is a common dietary source of iron?

    <p>Dark leafy greens</p> Signup and view all the answers

    What vitamin is also referred to as folate in its anionic form?

    <p>Folic acid</p> Signup and view all the answers

    Study Notes

    Metabolic Acidosis - Signs and Symptoms

    • Metabolic acidosis arises from increased metabolic acid or decreased base (bicarbonate).
    • Kidneys unable to excrete enough metabolic acids, accumulating in the blood, or bicarbonate removed (diarrhea).
    • Blood HCO3⁻ decreases, pH falls. Increased metabolic acid decreases blood HCO3⁻ because it buffers the acids.
    • Metabolic acidosis characterized by pH < 7.35 and bicarbonate (HCO3⁻) level < 22 mEq/L.

    Underlying Causes of Metabolic Acidosis

    • Starvation ketoacidosis: Inadequate caloric intake, prolonged fasting. -What Happens: In the absence of glucose, fat stores used for energy, keto-acids accumulate in the blood.
    • Diabetic ketoacidosis: Type I diabetes mellitus. -What Happens: Glucose is not transported into cells due to lack of insulin. Fat used for energy, keto-acids accumulate in blood.
    • Lactic acidosis: Sepsis, cardiac arrest, trauma, seizures. -What Happens: Lack of oxygen leads to anaerobic metabolism in cells, and lactic acid accumulates.
    • Renal Tubular Acidosis: Renal failure. -What Happens: Kidneys unable to remove acids through urine acidification.

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    Description

    Test your knowledge on complications associated with atrial fibrillation, blood clotting issues, and related health conditions. This quiz covers symptoms, lab values, and risk management for patients. Ideal for healthcare students and professionals.

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