The patient is to receive 1 unit of packed RBCs. The nurse obtains the blood from the blood bank and returns to the unit to find that the patient has been taken to radiology for a CT scan and is expected to return in about an hour
What should the nurse do? a. Go to radiology and administer the blood.
b. Keep the blood refrigerated until the patient returns.
c. Return the blood to the blood bank.
d. Hang the blood in the patient's room and start it when the patient returns.
C
Initiate the blood transfusion within 30 minutes of the time of release from the blood bank. If you cannot do this because the patient is in the bathroom or the physician has to be notified of an elevated temperature, immediately return the blood to the blood bank, and retrieve it when you can administer it.
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A student nurse is preparing to auscultate a patient's lungs. What action by the student leads the instructor to intervene?
a. Student asks to turn the television volume down. b. Student warms the bell of the stethoscope before use. c. Student uses the stethoscope bell to listen to bowel sounds. d. Student places the stethoscope diaphragm on the patient's skin.
Symptoms that are perceived by the patient are known as _____________ ____________
Fill in the blank(s) with correct word
An older patient is demonstrating delirium since being admitted from a nursing home for treatment of a wound infection. What should the nurse identify as the most likely cause for the patient's delirium?
1. High television volume 2. Intravenous fluid therapy 3. Windowless hospital room 4. Assessments every 4 hours
Twenty minutes after birth, a baby begins to move his head from side to side, making eye contact with the mother, and pushes his tongue out several times. The nurse interprets this as:
A) A good time to initiate breast-feeding B) The period of decreased responsiveness preceding sleep C) The need to be alert for gagging and vomiting D) Evidence that the newborn is becoming chilled