A client complains of a headache and chills during a blood transfusion. Which one of the following actions should the nurse take immediately?
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel.
B
If a blood reaction is suspected, the nurse stops the blood transfusion immediately.
The nurse should take the client's vital signs, but the initial action should be to stop the blood transfusion.
The nurse should not slow the rate of blood flow. The nurse should stop the blood transfusion.
The nurse should first stop the blood transfusion. The nurse notifies the physician and blood bank personnel after the transfusion is stopped.
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The nurse is caring for a patient who is receiving a blood transfusion. One hour into the transfusion, the patient's blood pressure decreases significantly and the patient complains of a severe headache. What is the priority action of the nurse?
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The nurse is assisting in developing a plan of care for a client with a psychotic disorder who is experiencing altered thought processes that include the belief that the food is being poisoned
The nurse develops strategies that will encourage the client to discuss feelings and plans to: 1. Use open-ended questions and silence. 2. Focus on the components of adequate nutrition. 3. Focus on the fact that the client's beliefs are untrue. 4. Instruct the client about the need for adequate nutrition.
When you write a paper for one of your nursing courses, which type of literature review forms the basis of your research?
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