When a nurse suspects a client is having a transfusion reaction, which action must the nurse take immediately?
a. Call the blood bank or laboratory and report findings.
b. Call the health care provider and report findings.
c. Continue to observe the client closely.
d. Stop the infusion.
D
If a client experiences and symptoms of a transfusion reaction, the infusion is stopped immediately and the physician is notified.
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A client has been admitted to the hospital for a virulent infection and is started on antibiotics. The client has laboratory work pending to determine if the diagnosis is meningitis. After starting the antibiotics, what action by the nurse is best?
a. Assess the client frequently for worsening of his or her condition. b. Delegate comfort measures to unlicensed assistive personnel. c. Ensure the client is placed on Contact Precautions. d. Restrict visitors to the immediate family only.
A client is asking the nurse when recovery from an acute illness will occur. The best response by the nurse would be:
1. "Recovery is individual, and does not follow a timetable." 2. "You will recover in one week." 3. "This disease will probably develop into a chronic condition." 4. "You should have recovered by now."
The nurse is evaluating care provided to a patient in the third trimester of pregnancy who has been diagnosed with gestational hypertension. Which finding indicates that treatment has been successful for this patient?
A) Urine protein 0 B) Increased perspiration C) Weight gain of 1 lb/week D) Diastolic blood pressure 20 mmHg over normal level
A mother takes her 10-year-old son to the pediatrician for a sprained wrist. During the medical history, the pediatric nurse listens to a mother describe her son as "busy playing basketball all day long with the other boys in the neighborhood
" The nurse knows that this child is in which stage of Freud's psychosocial development? A) Anal Stage B) Phallic Stage C) Latency Stage D) Genital Stage