A patient receiving a unit of packed red blood cells for hypovolemic shock is demonstrating signs of a transfusion reaction. In which order should the nurse provide care to this patient? Place in order the steps of the process.Choice 1. Stop the transfusion and notify the healthcare providerChoice 2. Compare the blood slip with the unit of bloodChoice 3. Assess vital signs and associated manifestationsChoice 4. Save the blood bag and tubing for laboratory analysisChoice 5. Collect urine and venous blood samples according to policy
Fill in the blank(s) with the appropriate word(s).
1, 3, 2, 4, 5
Choice 1. The first step is to immediately stop the infusion and notify the healthcare provider.
Choice 2. The third step is to compare the blood slip with the unit of blood to ensure that an identification error was not made.
Choice 3. The second step is to assess vital signs and assess for other manifestations.
Choice 4. The fourth step is to save the blood bag and any remaining blood for return to the laboratory for testing to determine the cause of the reaction.
Choice 5. The fifth step is to follow organizational policy for collecting urine and venous blood samples.
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a. "For 1 full week, record what you remember about your dream content and related feelings as soon as you wake up. Bring the record to your next appointment.". b. "While off from work for 1 week, go to bed at your usual time and wake up without an alarm. Record how many hours you sleep, and then average the findings.". c. "For 2 full weeks, record how much time you sleep each night, and rate your daytime alertness on a scale of 1 to 10 . Calculate your average alertness score.". d. "All adults need 7 or 8 hours of sleep to function properly. Let's design ways to help you reach that goal.".
The nurse is planning to admit a 10-year-old child with syndrome of inappropriate antidiuretic hormone (SIADH). What clinical manifestations should the nurse expect to observe in this child? (Select all that apply.)
a. Polyuria b. Anorexia c. Polydipsia d. Irritability e. Stomach cramps