A client receiving a blood transfusion begins to complain of dyspnea, chest pain, and an itching sensation on the skin. Which of the following actions should you take?
1. Sit the client up and help scratch the skin.
2. Administer nitroglycerin and oxygen.
3. Stop the transfusion and notify the physician.
4. Add normal saline to the unit of blood and continue the transfusion.
ANS: 3
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When teaching a parenting group how to prevent the most common cause of childhood burns, what action does the nurse advise?
A. Cover electrical outlets. B. Keep children out of the kitchen. C. Install smoke detectors. D. Lock up household chemicals.
The RN who is the team leader gives assignments to all the team members. The decision is based on:
A) The number of staff willing to work B) The age and desires of the team members C) The RN needing to take orders and write client outcomes D) The condition and needs of each client
An older client is prescribed topical capsaicin for joint pain. What should the nurse instruct the client about the use of this medication? Select all that apply.
1. Avoid getting the medication in the eyes. 2. This medication will react with other medications. 3. It will cause a burning sensation when first applied. 4. Do not permit the medication to touch an open wound. 5. The burning sensation will decrease with subsequent uses.
On the second appointment at the crisis clinic, the client tells the nurse, "I worry hour after hour about my problem
I can't get away from it. I feel as though I'm going crazy." A helpful technique the nurse can recommend to the client to limit worry is to: 1. Not think about the worrisome topic or situation at any time 2. Talk about the worry with family and friends whenever it crops up 3. Reserve an hour a day for worrying and devote the entire time to worry 4. Call the crisis hot line whenever the worrisome thoughts intrude