A patient has been prescribed 3 units of packed red blood cells. How should the nurse proceed? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Start an IV site with an 18-gauge catheter.
2. Obtain special Y-type tubing.
3. Attach D5NS to the selected tubing and prime the line.
4. Warm the blood for at least one hour before beginning the transfusion.
5. Stay with the patient for the first 15 minutes of the transfusion.
1,2,5
Rationale 1: A 16- to 20-gauge catheter is required for RBCs to pass through without being damaged.
Rationale 2: Y-type blood transfusion tubing is used for transfusions.
Rationale 3: Blood is always given with plain normal saline (NS).
Rationale 4: Blood transfusion should begin within 30 minutes of obtaining the blood from the blood bank.
Rationale 5: The nurse must be present with the patient to assess for clinical manifestations of transfusion reaction. The first 15 minutes are the most critical time for assessment, but the nurse must monitor the patient frequently.
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A patient who has been diagnosed with terminal liver cancer states that he does not believe in God, but he has had a meaningful life by contributing to the lives of those around him. This per-son is most likely which of the following?
a. Buddhist b. Christian c. Agnostic d. Atheist
The nurse assessing a young school-aged child finds that the child has the skill of conservation. When the nurse tells the parents that their child has the skill of conservation, they ask what this means
The nurse explains that conservation is the ability to: a. save objects or money b. recycle and take care of the environment c. recognize that a change in shape does not mean a change in amount d. recognize that actions can move in a reverse as well as forward manner
The nurse has noticed that more clients are asking about the use of herbal supplements to treat their symptoms. The nurse is aware that this could be related to which factor?
1. Aggressive marketing by the herbal industry 2. The greater safety of herbal remedies over prescription medications 3. An increase in acute illnesses 4. The lower cost of herbal remedies
As Director of Nursing Education in a large hospital, you are working with nurse managers and your staff development specialists to update the policy on staff attending conferences so that is more effective policy and attendance is increased
What might you include in this policy? Select all that apply. 1. Specify criteria for staff to receive fees and/or time off. 2. Require staff who attend (receiving conference fee and/or time off) to present to staff after the conference. 3. Specify the procedure for applying time off and/or fees to attend a conference and time line. 4. Recognize the continuing education is an individual professional obligation and thus conference fees will not be provided. 5. The same policy should then be applied to staff in academic programs.