A patient with acute leukemia is also anemic and is to receive packed red blood cells. What is the most important nursing action when giving the blood?

A) Give intravenous diuretics before the blood.
B) Administer the blood with normal saline volume.
C) Ensure administration of bronchodilators.
D) Prepare for continuous renal replacement therapy (CRRT).


B

Nursing

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When the 14-year-old African American boy comes into the emergency room in sickle cell crisis, what should be the primary focus of care?

a. Instruct patient about transfusion procedure b. Starting of IV fluids c. Pain control d. Relief of dyspnea

Nursing

A nurse is conducting a focused respiratory assessment of a 21-year-old man who has been admitted to the hospital with a pneumothorax (collapsed lung)

The nurse is aware that this client's diagnosis affects multiple aspects of his respiratory function, including external respiration. In what anatomical location does the external respiration take place? A) The bronchi B) The alveoli C) The surface of red blood cells D) Arterial vessel walls

Nursing

When a patient has any sort of assistive device, your physical examination should record the patient's performance

a. with the device in place. b. without the device in place. c. without assessing the area that is supported by the device. d. with an estimate of the margin of benefit the device has provided.

Nursing

The nurse is administering packed red blood cells to a child with sickle cell disease. The nurse knows that a transfusion reaction is most likely to occur:

1. 6 hours after the transfusion is given. 2. Within the first 20 minutes of administration of the transfusion. 3. At the end of the administration of the transfusion. 4. Never. Blood reactions to transfusions do not occur.

Nursing