27.  The nurse is caring for an infant that was born with a congenital heart defect characterized by a combination of pulmonary stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy. The infant suddenly becomes increasingly cyanotic while agitated and crying. Which of the following is the appropriate nursing intervention?

21.  The doctor prescribes lisinopril to the patient who is newly diagnosed with essential hypertension. Which of the following would need to be reported to the provider if it occurred while taking this medication?  

15. Situation A patient is on a med/surg floor originally admitted for pneumonia. The patient was administered oral metoprolol for the first time approximately one hour ago. The patient suddenly feels lightheaded, dizzy and weak. You assist the patient to bed and notify the doctor.  Vitals Blood pressure 76/38 mmHg, temperature 98.6F, respirations 18 breaths/min and pulse ox 95% on room air.   The doctors orders and EKG and the following rhythm is revealed:    Based off the EKG strip, the nurse knows that the patient is in which of the following heart rhythms?

 25.  The doctor orders Carvedilol p.o. 6.25mg twice a day. The pharmacy supplies the patient with 25mg tablets. How many tablets will the patient take per day. (enter numerics only, tab is assumed in your answer)

Patient RBCs tested with commercially prepared Patient plasma tested with commercially prepared Anti-A Anti-B A1 cells B cells 4+ 0 1+ 4+   Analyze and interpret the blood group typing results above for a 36-yr. old male patient. The test has been repeated tat the same results were obtained.  Identify this as a forward or reverse type discrepancy.  Next, indicate the most probable cause for the discrepancy, assuming there are not any technical or clerical errors, and the patient has not been recently transfused.  How would you attempt to resolve this discrepancy to confirm an ABO blood group type? Be specific in you answer.  Provide all test that would be performed as well as the expected results if your initial theory was correct.

The following laboratory results were obtained on a mother and her baby immediately following delivery of the neonate.  Examine the medical history and test results provided below to determine the MOST probable cause of HDFN?                  Mother:           O D Positive Antibody detection/screen results shown below. Cell I.S (Room Temp.) (PEG) AHG IgG-coated RBCs (Pcells) I 0 3+ TNP II 0 3+ TNP III 0 0 P                              TNP: Test Not Performed               Baby:              O D Positive                                     DAT: Positive (2+)                                     Hgb: 11.0 g/dL                                     HCT: 33%                                     Bilirubin: Total 5.6 mg/dL; Direct 1.2 mg/dL

Which of the following makes a unit of RBCs unsuitable to be used for exchange transfusion in a newborn?            

What other antibodies can still not be ruled out after evaluating the entire antibody work-up?

How many units of RBCs are required to raise the hematocrit of a 70-kg, non-bleeding adult from 21% to 30%?

Explain how you know that the correct antibodies have been identified. Include how the “Rule of 3” applies as well as calculated p-values in your explanation.  Students don’t need to show calculation but refer to the p-value in your answer.