The pediatric nurse routinely administers blood products to the patients on the unit. The nurse knows the following guidelines for safe administration of blood products, including:
Select all answers that apply.
A) call for the blood products 1 hour prior to administration.
B) allow 4 hours as the maximum time for the blood infusion.
C) add prescribed medications to blood products prior to infusion.
D) have two health care team members check blood products at the bedside.
B, D
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A patient complains of dyspnea, which has gradually worsened over the past few years. To examine the quantity of the patient's dyspnea, you should determine
a. how far she can walk before she experiences shortness of breath. b. how many packs of cigarettes she smokes a day. c. whether she experiences shortness of breath during the night. d. whether sitting up alleviates the dyspnea.
When caring for a patient who has had a stroke, a priority is reduction of ICP. What patient position is most consistent with this goal?
A) Head turned slightly to the right side B) Elevation of the head of the bed C) Position changes every 15 minutes while awake D) Extension of the neck
The mother of a breastfed newborn tells the nurse that the baby's stool is golden yellow, is pasty instead of firm, and has a sour milk odor. The best response on the part of the nurse would be which of the following?
a. "You probably need to feed this baby some cereal to firm up the stool." b. "Cut back on your fluid intake and be careful what you eat, as you pass this on to the baby." c. "I need to check your temperature and your breasts to determine if you have a breast abscess." d. "This is a normal stool for a newborn that is breastfed. Do not change anything about your breastfeeding."
The client record is utilized for many purposes. Which of following might be uses for the client record? Select all that apply
A) education of student nurses B) reimbursement for services C) research D) giving information over the phone when unidentified callers call the hospital unit E) education for medical students