The nurse is administering a blood transfusion to a client. Which should the nurse implement first when a client is complaining of chills and back pain within the first 15 minutes of this transfusion?
A. Infuse normal saline.
B. Give the client a blanket.
C. Stop the infusion.
D. Notify the charge nurse.
Answer: C
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A nurse receives report on a patient in the pediatric intensive care unit and is told the patient is on a ventilator in SIMV mode. Which information is inconsistent with the nurse's knowledge of this type of ventilation?
A. Breaths delivered with preset pressure B. Can be used in cases of respiratory failure C. Invasive form of ventilation that requires intubation D. Will override any spontaneous breathing
Which of the following aspects indicate that the bony orbit is fractured when assessing a client for eye trauma?
A) There is excessive tearing. C) A rust ring is seen around the pupil. B) The client's vision is blurred. D) The client has diplopia.
How can the student nurse increase studying efficiency?
a. Maintaining a supply of simple carbohy-drates for a quick energy spurt b. Alternating mental and physical activities to increase productivity c. Working nonstop without breaks to focus concentration d. Delegating tasks of household chores to family members
A nurse is assessing four clients. Which clients should the nurse recommend to attend a structured day program?
A) An acutely suicidal teenager B) A severely mentally ill woman with history of medication noncompliance C) A socially isolated elderly individual D) A depressed individual who is able to contract for safety