The nurse is administering a blood transfusion to an older adult for hypovolemic shock. During the transfusion, which nursing intervention would be the most important?
a. Prevention of infection
b. Balanced nutritional diet with sodium reduction
c. Cardiopulmonary function assessment
d. Monitoring of hemoglobin and hematocrit levels
C
Administer blood products with caution because older adults are at increased risk of developing congestive heart failure. Careful assessment of cardiopulmonary function and intake and output is essential.
You might also like to view...
The element that makes up 55% of the blood is
a. plasma. b. RBCs. c. WBCs. d. platelets.
The nurse is planning care for a client with Stage 1 Alzheimer disease. Which are the priority nursing diagnoses for the client and family?
A) Impaired Memory and Caregiver Role Strain B) Hopelessness and Functional Family Processes C) Knowledge Deficit and Ineffective Coping D) Pseudohostility and Ineffective Coping
Meats, whole grains, egg yolks, legumes, prunes, raisins, and apricots are high in which of these minerals?
a. calcium c. iron b. iodine d. potassium
The nurse is caring for a 4-year-old girl with vulvovaginitis. After explaining to the girl's mother how to help prevent subsequent episodes, which statement by the mother indicates a need for additional teaching?
A) "She needs to wipe from front to back.". B) "I will make sure she changes her underwear every day.". C) "She should probably avoid bubble baths.". D) "I will help supervise her wiping after bowel movements.".