A client who is receiving a transfusion of PRBCs complains of a headache, nausea, chest pain, and flulike symptoms. The nurse realizes this is most likely:
1. An anaphylactic transfusion reaction.
2. Acute hemolytic transfusion reaction.
3. An allergic reaction.
4. A febrile nonhemolytic reaction.
4
Rationale: The signs and symptoms of an anaphylactic transfusion reaction include anxiety,
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Reality orientation is helpful for some patients with confusion. What patient diagnosis is most appropriate for the nurse to implement this technique?
a. Organic brain syndrome b. Senile dementia c. Senility d. Acute confusional state
While caring for a patient with a pulmonary artery catheter, which of the following is not within the scope of practice of the nurse?
1. Advancing the catheter if the radiologist determines it is not in the pulmonary artery 2. Inflating the balloon in the pulmonary artery to obtain pulmonary artery occlusion pressures 3. Using sterile technique to clean the site of insertion of the catheter and changing the dressing 4. Changing the dosages (titrating) of medications based on changes in hemodynamic pressures
_____________ occurs when one directs hostile or aggressive behavior toward another member of the same group
a. Discrimination c. Sexual harassment b. Lateral violence d. Disparate impact
A mother watches as a neonate cries, spreads his arms, and draws them in again in response to being pulled up and laid back down. She asks the nurse what is going on with her baby. What is the best explanation for this response?
A) "Your baby is experiencing gas, and this movement helps to expel it." B) "Your baby is demonstrating a normal CNS response called the Moro reflex." C) "Your baby is experiencing the signs and symptoms of an abnormal neural response to being startled." D) "Your baby's actions are normal automatic movements to help maintain core body temperature."