Place the steps in order for the preparation to initiate a blood line: (Separate letters by a comma and space as follows: A, B, C, D, E.)
A. Compare patient name, ID number on wrist bank with transfusion record.
B. Obtain Y-connector setup and saline and prime the filter with saline.
C. Clamp off saline and start blood.
D. Confirm the presence of a permission slip.
E. Obtain baseline vital signs.
D. Confirm the presence of a permission slip.
A. Compare patient name, ID number on wrist bank with transfusion record.
B. Obtain Y-connector setup and saline and prime the filter with saline.
E. Obtain baseline vital signs.
C. Clamp off saline and start blood.
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A client's cardiac status is being observed by telemetry monitoring. The nurse observes a P wave that changes shape in lead II. What conclusion does the nurse make about the P wave?
a. It originates from an ectopic focus. b. The P wave was replaced by U waves. c. It is from the sinoatrial (SA) node. d. Multiple P waves are present.
The nurse has been reviewing options for insulin therapy with several clients. For which client does the nurse choose to recommend the pen-type injector insulin delivery system?
a. Older adult client who lives at home alone but has periods of confusion b. Client on an intensive regimen with fre-quent, small insulin doses c. Client from the low-vision clinic who has trouble seeing the syringe d. "Brittle" client who has frequent episodes of hypoglycemia
The caregivers ask the nurse how long the time-out should be for their 5-year-old preschooler. The best reply by the nurse would be which of the following?
a. "The time depends on the offense. The worse the offense, the longer the child needs to think about what he or she did or did not do." b. "About 20 minutes is time enough to think about what he or she needs to do next time to stay out of trouble." c. "Time-out ends when the child agrees to follow the rules, so the time varies." d. "No longer than 5 minutes, which is 1 minute per year of age."
A hospital is introducing a program that has the goal of aligning practices more closely with the Quality and Safety Education for Nurses (QSEN) project. What initiative best exemplifies QSEN competencies?
A) New systems are introduced to increase communication between nurses and the members of other health disciplines. B) Systems are reviewed with the goal of achieving the best client outcomes at the lowest cost. C) Hiring practices are reviewed in order to maximize the proportion of nurses who possess baccalaureate or graduate degrees. D) New partnerships are established between the hospital and local schools of nursing.