A client who is receiving a transfusion of PRBCs complains of a headache, nausea, chest pain, and flu-like symptoms. The nurse realizes this is most likely:
1. An anaphylactic transfusion reaction
2. Acute hemolytic transfusion reaction
3. An allergic reaction
4. A febrile nonhemolytic reaction
4
Rationale: The signs and symptoms of an anaphylactic transfusion reaction include anxiety,
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A group of nursing students are giving a report on the emergence of drug-resistant microbial agents. What could the students cite as a good way to minimize the emergence of drug-resistant microbial agents? (Select all that apply.)
A) Avoid the use of broad-spectrum antibacterial drugs when treating trivial or viral infections. B) Use narrow-spectrum agents if they are thought to be effective. C) Do not use vancomycin unnecessarily. D) Antibiotics are best started before the culture and sensitivity report returns. E) Administer the smallest effective dosage available.
A patient with a history of chronic pain has responded favorably to a new pain control regimen that exemplifies the principles of balanced analgesia
If the nurse were administering the patient's scheduled 08:00 medications, which of the following best demonstrates balanced analgesia? A) 650 mg acetaminophen PO and 1 mg lorazepam SL B) 4 mg morphine PO and 1 mg morphine IV C) 2 mg hydromorphone PO and 600 mg ibuprofen PO D) 10 mg morphine extended-release PO and 2 mg morphine immediate-release PO
The nurse suggests that a patient recently diagnosed with rheumatoid arthritis (RA) plan to start each day with
a. a warm bath followed by a short rest. b. a short routine of isometric exercises. c. active range-of-motion (ROM) exercises. d. stretching exercises to relieve joint stiffness.
A patient comes to the clinic complaining of difficulty urinating, flu-like symptoms, genital tingling, and blister-like vesicles on the upper thigh and vagina. She denies having ever had these symptoms before and receives the diagnosis of Herpes
The nurse will anticipate providing teaching for which medication that the physician is most likely to order? 1. Azithromycin 2. Penicillin 3. Acyclovir 4. Rocephin