The primary intervention for a nurse who is preparing a blood transfusion is to:
A. Set up the Y tubing
B. Obtain 0.9% saline
C. Verify the blood product and the client
D. Have the client void, or empty the urine drainage container
C
C. Step 1b. Correctly verify product and identify client with a person considered qualified by your agency
A. Step 2c. Y tubing is used to facilitate maintenance of IV access in case a client will need more than 1 unit of blood.
B. Step 2e. Spike 0.9% normal saline IV bag with one of Y tubing spikes.
D. Step 1b(7)c. Empty urine drainage collection container, or have client void.
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When antibiotic therapy for pelvic inflammatory disease is continued orally at home after discharge, the nurse must inform the patient about the importance of:
a. avoiding contact sports for at least 2 months. b. completing the entire course of medication to prevent complications. c. bed rest at home. d. regular weekly follow-up with the gynecologist.
The nurse determines that further instruction is needed for a patient with interstitial cystitis when the patient says which of the following?
a. "I should stop having coffee and orange juice for breakfast." b. "I will buy calcium glycerophosphate (Prelief) at the pharmacy." c. "I will start taking high potency multiple vitamins every morning." d. "I should call the doctor about increased bladder pain or odorous urine."
A nurse assesses a 40-year-old man for a complaint of sleep problems. Which of the statements made by the client would be most indicative of obstructive sleep apnea (OSA)?
1. "I think I am seeing things when I wake up." 2. "My wife says I snore and even stop breathing." 3. "I go to sleep okay but then wake up several times at night." 4. "My wife says I sit straight up in bed at 2 a.m. and then say strange things."