An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. These manifestations are most suggestive of which of the following complications?
a. Air embolism
b. Allergic reaction
c. Hemolytic reaction
d. Circulatory overload
Ans: d. Circulatory overload
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The nurse executive is reviewing statistics about the nursing staff. Which statistic shows that the staff reflects national trends?
1. The average age of the nursing staff is 40. 2. The number of nurses under age 30 has increased in the last two years. 3. There are no nurses over age 55. 4. All nurses over age 45 are managers.
A nurse hopes to improve time management skills using the ABC prioritization approach. Which tasks would be prioritized as "B"? (Select all that apply.)
a. Turn in time sheet due in 3 days. b. Review dress code policy to give feedback before appointment in the morning. c. Perform blood glucose test on a patient admitted with Kussmaul respirations and change in level of consciousness. d. Complete patient teaching prior to discharge in 2 hours. e. Review procedure for inserting a PIC line to assist with procedure later this morning.
Who is responsible for determining the scope of practice for registered nurses?
a. American Nurses Association b. Federal legislators c. State legislators d. U.S. Department of Health and Human Services
During a routine physical assessment, the nurse obtaining a health history notes that a 50-year-old female patient reports pain and redness in the right breast. Which action is best for the nurse to take in response to this finding?
a. Assess the patient as thoroughly as possible. b. Explain to the patient that breast tenderness is normal at her age. c. Tell the patient that redness is not a cause for concern and is quite common. d. Inform her that redness is the precursor to normal unilateral breast enlargement.