A client has severe anemia and is being treated with transfusion therapy. The nurse should be alert for a complication of transfusion, such as
a. flank pain.
b. hearing loss.
c. liver damage.
d. sore throat.
A
Reactions to blood products include fever, chills, back or flank pain, shock, wheezing, headache, vomiting, or urticaria (hives).
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What nursing interventions are appropriate for the prenatal patient in terms of prenatal care? (Select all that apply.)
a. Offer nutritional counseling. b. Reinforce responsibility of parenthood. c. Reduce risk factors. d. Improve health practices. e. Make financial arrangements for delivery.
The nurse percusses the client's abdomen. Which piece of information accurately reflects that tympany is present?
1. "The sound is low-pitched, loud, and hollow-sounding." 2. "It is a high-pitched, soft sound that doesn't last very long." 3. "The sound is very loud and has a low tone. The sound has a long duration." 4. "It sounds like a drum, is loud, and high-pitched."
The nurse is assigned to work in the local health department and is instructing student nurses on how to prevent disease and subsequent disabilities for clients
What should the nurse identify as the highest priority in the session to student nurses on how to encourage clients to prevent disease and disabilities? A) Good eating habits B) Health education C) Regular primary care visits D) Vitamin supplements
A client was admitted to a psychiatric facility because he was found walking around the street naked and talking incoherently
He has no known next of kin and has been adjudicated incompetent for the first time following a thorough assessment. He refuses any antipsychotic medications but has not been harmful to himself or others. What action should the facility take? A) Initiate court proceedings to have a guardian named B) Convince the client of his need for care C) Continue custodial care D) Contact social services to find outpatient housing