The nurse is administering packed red blood cells to a child with sickle cell disease. The nurse knows that a transfusion reaction is most likely to occur:
1. 6 hours after the transfusion is given.
2. Within the first 20 minutes of administration of the transfusion.
3. At the end of the administration of the transfusion.
4. Never. Blood reactions to transfusions do not occur.
2
Rationale:
1. Blood reactions can occur as soon as the blood transfusion begins, or within the first 20 minutes. The nurse should remain with the child for the first 20 minutes of the transfusion.
2. Blood reactions can occur as soon as the blood transfusion begins, or within the first 20 minutes. The nurse should remain with the child for the first 20 minutes of the transfusion.
3. Blood reactions can occur as soon as the blood transfusion begins, or within the first 20 minutes. The nurse should remain with the child for the first 20 minutes of the transfusion.
4. Blood reactions can occur as soon as the blood transfusion begins, or within the first 20 minutes. The nurse should remain with the child for the first 20 minutes of the transfusion.
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The nurse is caring for a patient with renal failure who has a serum potassium level of 7.1 mEq/L and serum magnesium level of 3.5 mEq/L. The nurse prepares to administer 10 units of insulin and an ampule of 50% dextrose to the patient
The patient asks why he will be receiving insulin when he is not diabetic. What is the nurse's best answer? a. "The doctor has prescribed these medications for you to help heal your kidneys." b. "These medications will lower your potassium level and prevent an irregular heart rate." c. "These medications will prevent you from having a seizure from too little magnesium." d. "These medications will increase your urine output until your kidneys recover."
The nurse discussing "sick day rules" with a newly diagnosed patient with type 1 diabetes is aware that the patient will require further teaching when he states:
A) "I will not take my insulin on the days when I am sick, but I will check my blood sugar every 2 hours." B) "If I cannot eat a meal, I will eat a soft food such as soup, gelatin, or pudding 6 to 8 times a day." C) "I will call the doctor if I am not able to keep liquids in my body due to vomiting or diarrhea." D) "I will call the doctor if my blood sugar is over 300 (mg/dL) or if I have ketones in my urine."
A child with decreased level of consciousness is brought to the emergency unit of a
healthcare facility following food poisoning. Which intervention should the nurse follow when caring for this child? A) Provide activated charcoal with food B) Administer syrup of ipecac C) Administer tincture of ipecac D) Assist with gastric lavage
How do most elderly people compare to younger people?
a. More elderly persons are socially isolated with few social contacts. b. More elderly persons change jobs frequently. c. More elderly persons are not pleased with their lives. d. Most elderly persons engage in most normal activities.