A client presents to the ER bleeding profusely from a gunshot wound. The client is in hypovolemic shock and needs a rapid transfusion. What does the nurse anticipate to replace blood volume after starting the IV?
a. Send a type and cross to the lab for analysis
b. Transfuse O- blood without knowing the client's blood type
c. Transfuse AB+ blood without knowing the client's blood type
d. Send a type and screen to the lab for analysis
b. Transfuse O- blood without knowing the client's blood type
rationale: In an emergency, waiting for a type and screen with cross match takes too much time. This client will need to be infused with O- blood. AB+ is the universal recipient of blood products, but O- is the universal donor.
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The nurse examines the peripheral vascular system of a client diagnosed with chronic bronchitis 22 years ago. The nurse examines the client's hand. Which statement by the client is consistent with the client's diagnosis?
1. "My fingers look so pointy and narrow at the ends." 2. "My fingernails are as hard as a rock." 3. "My nails always look a little bluish." 4. "My nails have a lot of strange ridges in them."
After attending a weekend retreat the nurse decides to start meditating daily. What will be the biggest challenge for the nurse when learning to meditate?
A) Achieving deep relaxation B) Focusing on a word or prayer C) Being open to random thoughts D) Being still rather than doing something
Which term is used to describe painful menstruation?
1) Amenorrhea 2) Dysmenorrhea 3) Myalgia 4) Menarche
Incongruent responses occur when the words or behaviors used in communications do not match or are inappropriate to the context of the message. Four types of congruent responses are listed below. Which is not necessarily correct?
a. blaming b. placating c. threatening d. being super reasonable