A client is having a blood transfusion, but the fluid is dripping very slowly. The blood has been infusing for more than four hours. What should the nurse do next?
A) Continue with the transfusion and document the drip rate.
B) Report to the next shift the amount of blood left to infuse.
C) Take and record vital signs more often.
D) Discontinue the blood transfusion.
Ans: D
Blood that has been transfusing for more than four hours must be discontinued to prevent the risk of bacterial contamination.
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The wife of a patient being treated for a recent diagnosis of schizophrenia asks how long it will be until her husband is cured. What response by the nurse is most appropriate?
a. "Unfortunately there is no cure but the condition can be managed." b. "It will take approximately 1 to 2 months of medication therapy to alleviate the symptoms being experienced by your husband." c. "We cannot consider your husband cured until he has been symptom free for at least 1 year." d. "There is no way to predict his outcome during his initial episode."
When palpating the carotid artery, which of the following is most important? (Select all that apply.)
a. Rotate the patient's head to the side being examined to relax the sternocleidomasto-id. b. Excessive carotid sinus massage can compromise blood flow to the brain. c. Excessive carotid sinus massage can cause slowing of the pulse. d. Palpate both sides simultaneously.
A patient leaves the hospital without receiving his medication prescriptions and discharge instructions, which causes the patient to sustain physical harm. The hospital should be concerned about which of the following elements of malpractice?
1. Injury 2. Duty 3. Breach of duty 4. Causation
Which are essential characteristics when documenting in the medical record for cases of suspected abuse? Select all that apply
1) Clear 2) Subjective 3) Specific 4) Thorough 5) Abbreviated