The nurse is reviewing a client's history with the client prior to initiating a blood transfusion. The nurse lists the objectives for administering blood transfusions, including: Standard Text: Select all that apply
1. Restoring and maintaining blood volume.
2. Improving the oxygen-carrying capacity of the circulatory system.
3. Restoring and maintaining acid–base balance.
4. Permitting neonatal blood exchange.
5. Treating blood deficiencies such as anemia.
1,2,4,5
Rationale: Restoring and maintaining blood volume, as in the case of hemorrhage, is an objective for administering a blood transfusion.
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In assessing for pericarditis, the nurse would find
A) an S3 gallop. B) high fever. C) diffuse ST segment elevation. D) hypoxemia.
Problem identification in the research process would be equivalent to which step in the nursing process?
a. Assessment b. Goal identification c. Nursing diagnosis d. Planned interventions
A patient stops taking a proton pump inhibitor (PPI) after 6 weeks of therapy for treatment of peptic ulcer disease. The patient reports symptoms of dyspepsia to the nurse. The nurse will tell this patient to:
a. come to the clinic to be tested for Clostridium difficile. b. resume taking the PPI, because long-term therapy is necessary. c. resume taking the PPI until symptoms resolve completely. d. try an antacid to see whether it relieves these symptoms.
When the nurse formulates three nursing diagnoses for an adult client hospitalized for abdominal surgery, the nurse has focused on the client's:
A) medical record. B) actual health problems. C) medical diagnosis. D) past medical history.