Which nursing intervention takes highest priority when caring for a client who's receiving a blood transfusion?
a) Documenting blood administration in the client care record
b) Assessing the client's vital signs at the conclusion of the transfusion
c) Monitoring the client for itching, swelling, or dyspnea
d) Informing the client that the transfusion usually takes 1½ to 2 hours
Ans: c) Monitoring the client for itching, swelling, or dyspnea
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The nurse is assisting a patient who has a suspected diagnosis of tinea capitis (ringworm). For which of the following diagnostic tests should the nurse prepare the patient?
a. Skin biopsy b. Scratch test c. Wood's light examination d. Patch test
An athlete has been admitted to the ICU for heat stroke and severe dehydration after participating in a marathon on a hot day. Which of the following would the nurse expect to find in this patient?
A) Decreased serum osmolality B) Increased renin secretion C) Increased glomerular filtration rate D) Hypertension
The psychiatric nurse's practice is based on Peplau's Interpersonal Relations Model
The nurse has developed a relationship with a client in which the client has assumed the power. How would Peplau identify this phase of the relationship? 1. Orientation 2. Identification 3. Exploitation 4. Resolution
If all of the protective barriers are to be used for a client in isolation, the nurse should first remove the:
A. Mask B. Gown C. Gloves D. Goggles