During a blood transfusion, a patient displays signs of immediate onset facial flushing, fever, chills, headache, low back pain, and shock. Which transfusion reaction should the nurse suspect?
A) Allergic reaction: allergy to transfused blood
B) Febrile reaction: fever develops during infusion
C) Hemolytic transfusion reaction: incompatibility of blood product
D) Bacterial reaction: bacteria present in the blood
C
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The nurse understands that the following definitions of pain are appropriate to assimilate into one's practice:(Select all that apply) Standard Text: Select all that apply
1. Pain is whatever the experiencing person says it is 2. Client's often exaggerate pain 3. Pain is one of the body's defense mechanisms indicating that a problem exists 4. The client is the authority on the pain that he or she is experiencing 5. The nurse needs to be willing to believe that the client is experiencing pain
The physician has ordered antibiotics and laboratory tests for a client experiencing pneumonia. Before administering the first dose of antibiotics, the nurse ensures that:
1. blood and sputum cultures have been obtained. 2. the client has voided. 3. the client is not experiencing vomiting. 4. the client has no visitors.
Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at 1 year of age?
a. 14 3/4 lb b. 22 1/8 lb c. 29 1/2 lb d. Unable to estimate weigh at 1 year
The JCAHO standards of care for pain management apply to all clinical settings, including psychiatric–mental health settings. The primary goal of pain management is to do what?
A) Eliminate all causes of pain for the client. B) Educate the client about reasons for pain. C) Medicate the client until the pain is manageable. D) Reduce or eliminate pain, or make it more manageable.