A nurse has just received a bag of packed red blood cells. The nurse knows that the blood must not remain at room temperature for longer than

a. 30 minutes.
b. 1 hour.
c. 2 hours.
d. 4 hours.


ANS: D
Blood should be allowed to sit at room temperature for a maximum of 4 hours. After 4 hours, risk of bacterial contamination of the blood is increased.

Nursing

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While auscultating a client's lungs, the nurse identifies more than one sound. Which of the following should the nurse do?

1. Obtain a stethoscope with longer tubing. 2. Ask another nurse to listen to the lung sounds. 3. Hold the stethoscope tubing while listening to the lung sounds. 4. Close the eyes and focus on one sound at a time.

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The nurse is caring for a 5-year-old girl following a tonsillectomy. The girl looks out the window and tells the nurse that it is raining: "The sky is crying because it is sad that my throat hurts

" The nurse understands that the girl is demonstrating which mental process? A) Magical thinking B) Centration C) Transduction D) Animism

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A client is awaiting surgery and tells the student nurse of having a feeling of choking and difficulty breathing. The student nurse obtains a set of vital signs that reveals tachycardia and an increased blood pressure

Based on this information, what level of anxiety should the student nurse promptly report to the registered nurse about the client? A) +1 anxiety B) +2 anxiety C) +3 anxiety D) Panic

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Avoid tucking the bottom sheet in tightly on the low air loss bed.

Answer the following statement true (T) or false (F)

Nursing