A client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood cell. When notifying the healthcare provider what information should the nurse provide first using the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting
diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f
Answer: a. explain specific reason for urgent notification
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After teaching a client with a parasitic gastrointestinal infection, a nurse assesses the client's understanding. Which statements made by the client indicate that the client correctly understands the teaching? (Select all that apply.)
a. "I'll have my housekeeper keep my toilet clean." b. "I must take a shower or bathe every day." c. "I should have my well water tested." d. "I will ask my sexual partner to have a stool test." e. "I must only eat raw vegetables from my own garden."
The nurse notes full range of motion against gravity with moderate resistance when assessing muscle strength of the upper extremities in a client. The nurse would correctly document which of the following choices?
1. Poor 2. Normal 3. Fair 4. Good
The nurse is teaching a community education class on the prevention of eye injuries and caring for someone with an eye injury
What should be included in this presentation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Eye protection devices should be worn when participating in high-risk sports or occupations. 2. Most eye injuries are self-limited and do not require medical intervention. 3. Immediately flush the eye with copious amounts of water if a chemical splash occurs. 4. Loose, visible objects can be removed using a clean, moistened cotton-tipped swab. 5. If an object appears to penetrate the eye, gently remove it using sterile gauze and seek medical attention.
An elderly client tells the nurse that she is becoming more forgetful. The nurse should explain to the client that threats to memory in older adults include:
A) Anxiety. B) Organic brain syndrome. C) Plaques in the brain tissue. D) Medications.