What nursing assessment measure is most important before and during a blood product infusion to detect a reaction?
a. Vital signs
b. Bowel sounds
c. Pupil reactivity
d. Skin turgor
ANS: A
Changes in vital signs can signal onset of transfusion reaction. Bowel sounds, pupils, and skin turgor are not generally affected.
You might also like to view...
A nurse is conducting morning assessments of several medical patients and has entered the room of a patient who has a nasogastric (NG) tube in situ
Immediately, the nurse observes that the tube has become unsecured from the patient's nose and the mark at the desired point of entry is now approximately 8 inches from the patient's nose. How should the nurse best respond to this assessment finding? A) Reinsert the NG tube and arrange for x-ray confirmation of placement. B) Remove the NG tube and obtain an order for reinsertion. C) Reinsert the NG tube and monitor the patient closely for signs of aspiration. D) Reinsert the NG tube and aspirate stomach contents to confirm correct placement.
A woman is admitted to a labor unit in active labor. Which of the following assessments would alert you to the possibility that she may have difficulty accepting this child?
A) "I'm so tired of being pregnant." B) "I haven't been able to sleep well lately." C) "I want this baby to be a boy." D) "I am so exhausted."
How do thyroid replacement drugs affect diabetes?
a. Thyroid replacement drugs reduce the effectiveness of all antidiabetic drugs. b. When thyroid replacement drugs return metabolism to normal, diabetes is gone. c. Thyroid replacement drugs can allow a patient to switch from insulin to an oral antidiabetic drug. d. Thyroid replacement drugs require that a patient taking an oral antidiabetic drug be placed on insulin.
Some cultures do not prescribe herbs based on the biologic effects of their chemical ingredients but rather use the _________________________ by which they are prescribed on the basis of their physical and taste characteristics; for example, herbs
with heart-shaped leaves are used to treat heart problems. Fill in the blank(s) with correct word