A client receiving a blood transfusion begins to have difficulty breathing and complains of itchiness. What action should the nurse instruct a new graduate RN to take first?
A. Stop the infusion.
B. Call a code blue.
C. Reassess the client.
D. Administer albuterol.
Answer: A
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The nurse knows an appropriate goal for Stress overload is:
a. The patient will attend a weekly support group. b. The patient will discuss possible coping strategies during weekly office visits. c. The patient will discuss strategies for coping with relationship violence within 24 hours. d. The patient's family will use respite care once a week for the next month.
The patient is experiencing a reduction in her dosage of a benzodiazepine after 10 years of heavy use. Select the adverse effect which the health care provider expects will result from such a re-duction
a. Mania b. Tachycardia c. Constipation d. Bradycardia
Which statement by a woman with breast cancer indicates that more teaching about treatment is needed?
A) "Staging the cancer helps guide treatment." B) "Because my friend didn't have chemotherapy after lumpectomy, I am not expecting chemotherapy either." C) "Because I have the BRCA1 gene, I am considering having both breasts removed." D) "Hormone therapy won't work because my cancer doesn't have hormone receptors."
In feeding a client with a cognitive impairment, the least helpful nursing action is to
a. create a quiet, unhurried environment. b. distract the client with conversation. c. orient the client to the feeding equipment. d. provide several small meals.