During a transfusion, a nurse notes that a client's heart rate has increased and that the client is complaining of chills and lower back pain. The nurse's first action after stopping the transfusion is:
A. Notifying the physician
B. Notifying the blood bank
C. Checking the vital signs
D. Removing and changing the IV tubing
D
D. In the event of transfusion reaction, (1 ) remove tubing containing blood product and replace it with new tubing. Maintain patent intravenous (IV) line using 0.9% normal saline.
A. In the event of transfusion reaction, (2 ) notify the physician.
B. In the event of transfusion reaction, (3 ) notify the blood bank.
C. In the event of transfusion reaction, (6 ) monitor and document vital signs every 15 minutes or more frequently, if needed.
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The functional unit of the kidney is known as the
a. Bowman capsule. c. nephron. b. glomerulus. d. distal tubule.
A mother and daughter are at the well-child clinic for the daughter's yearly checkup. The daughter is concerned because she is of shorter stature than most of her friends. She asks the nurse if she will continue to grow like her friends
A question the nurse should ask the girl to identify if growth will continue is: 1. "What was the date of your last menstrual cycle?" 2. "At what age did you start menarche?" 3. "What is the height of your mother?" 4. "What type of food do you like to eat in a 24-hour period?"
During your first visit to the home, you should check for
A) the client's valuables. B) safety factors. C) pets. D) bills that are due.
What value represents a normal glomerular filtration rate (GFR)?
a. 25 to 50 mL/min b. 60 to 90 mL/min c. 100 to 125 mL/min d. 150 to 200 mL/min