A nurse observes that the client, whose blood type is AB negative, is receiving a transfusion with type O negative packed red blood cells. What is the nurse's best first action?
A. Call the blood bank.
B. Take and record the client's vital signs.
C. Stop the transfusion and keep the IV open.
D. Document the observation as the only action.
B
Clients with AB-negative blood types can receive O-negative blood because they do not have antibodies against this type of blood. The transfusion can proceed. The nurse monitors the client's vital signs as if he or she were receiving type AB-negative packed red blood cells.
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A busy ICU unit has a high noise level. This frustrates the charge nurse in part because it is difficult to focus when entering physician's orders into the electronic medical record
Which would be the most appropriate action by the ICU nurse manager? 1. Decrease the noise level on the unit. 2. Tell the staff members that they need to be quiet when sitting at the nurse's station. 3. Close the doors to the client's rooms. 4. Rearrange the space so that an area that is quieter is available for order entry.
Due to the proximal to distal physical development of the child, which of the following motor skills is able to be accomplished by a toddler?
a. Tying shoes b. Buttoning a shirt c. Eating finger foods d. Cutting food with a fork and knife
Which of the following would a consumer use to compare the performance of health plans?
A) Healthcare Effectiveness Data and Information Set (HEDIS) B) Hospital Quality Alliance (HQA) C) Centers for Medicare and Medicaid Services (CMS) D) National Committee for Quality Assurance (NCQA)
Newer medications are designed to target only specific receptor sites on certain cells in an attempt to:
A) treat more than one condition. B) minimize the adverse effects. C) reduce their therapeutic effect. D) eliminate all side effects.