A client is to have a hip replacement in 3 months and does not want a blood transfusion from random donors. What option can the nurse discuss with the client?
A) Sign a refusal of blood transfusion form so the client will not receive the transfusion.
B) Bank autologous blood.
C) Ask people to donate blood.
D) Using volume expanders in case blood is needed.
B
Feedback:
Signing the refusal form does not give the client any information about the options that are available and place the client at risk. Banking autologous blood that is self-donated is the safest option for the client. Directed donor blood may be no safer than blood collected from public donors. Those who support this belief say that directed donors may not reveal their high-risk behaviors that put the potential recipient at risk for blood-borne pathogens such as HIV
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Once a child is intubated, which of the following is used to verify proper placement of the endotracheal tube?
A) Rise and fall of the chest B) Chest x-ray C) Tidal volume D) Absence of sternal retractions and/or grunting
A middle-aged client states to the nurse, "I have noticed a slight tremor of my left hand when at rest. I think I might have Parkinson disease because my mother had it and passed away because of respiratory failure."
Which response by the nurse is the most appropriate? A) "Having a close relative, such as your mother, with the illness can increase your chance of developing it as well." B) "You should not worry, as it has a higher prevalence in males." C) "It is unlikely that you have the same illness as your mother." D) "You probably do not have it, as your mother was probably exposed to a toxin that caused the disease."
Upon assessment of the patient's skin, the nurse notices pinpoint hemorrhages on the patient's arms. The nurse would be correct in documenting these as which of the following?
A) Lichenification B) Plaques C) Petechiae D) Pustules
The nurse is caring for the client with pneumonia. An expected client outcome is, The client will maintain adequate oxygenation by discharge. Which outcome criterion indicates the goal is met?
A) Client taking antibiotic as ordered. B) Client identifies signs and symptoms of recurrence of infection. C) Client coughing and deep breathing every one hour. D) Client no longer requires oxygen.