The nurse should stay with a patient for the first ____________________ minutes after a blood transfusion is started, and then check the patient periodically according to agency guidelines
Fill in the blank with the appropriate word.
ANS:
15
Stay with the patient for the first 15 minutes of the blood transfusion to assess for any immediate reactions. The 15 minutes begins when the blood enters the vein—if saline is in the tubing, it may take several minutes before the blood reaches the patient.
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When caring for a patient with a cardiac dysrhythmia, the most appropriate goal for the patient is to maintain:
A) Nutritional intake B) Fluid intake C) Cardiac output D) Social contacts
A group of nursing students are reviewing information about central nervous system stimulants. The students demonstrate understanding of the information when they identify which of the following as an indication for use? Select all that apply
A) Sleep apnea B) Hypertension C) Attention deficit hyperactivity disorder (ADHD) D) Drug-induced respiratory depression E) Hyperglycemia
A client has an elevated AST. The nurse realizes that the condition the client is most likely to have would be:
a. hepatitis. c. rheumatoid arthritis. b. diabetes. d. prostate cancer.
The nurse is caring for a 2-month-old with cerebral palsy. The infant is limp and flaccid with uncontrolled slow, worm-like, writhing or twisting movements. How would the nurse best document these movements?
A) Spastic B) Athetoid C) Ataxic D) Mixed