A patient is receiving a transfusion of packed red blood cells. Ten minutes after the infusion begins, the patient reports low back pain and a headache. Place the actions in order (1–5) of importance of performance
A. ___ Start the new 0.9% normal saline infusion.
B. ___ Prepare a new 0.9% normal saline infusion.
C. ___ Notify the physician stat.
D. ___ Stop the blood infusion.
E. ___ Obtain vital signs and assess patient.
ANS:
A ANS: 5
B. ANS: 4
C. ANS: 3
D. ANS: 2
E. ANS: 1
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An older client with oral candidiasis is prescribed Nystatin. Which actions will the nurse take when using this preparation with the client? Select all that apply.
1. Plan to use the medication four times a day for 2 weeks. 2. Soak dentures in 1 mL of the medication and water for at least 6 hours. 3. Teach to hold the solution in the mouth and swish for 2 minutes before swallowing. 4. Coat the gums and tongue with the medication and rinse with water after 5 minutes. 5. Provide the medication as a troche to be used twice a day if the client has diabetes.
A patient with a current history of drug abuse is admitted to the unit. The next morning the patient begins to display abstinence syndrome. The nurse anticipates signs and symptoms con-sistent with which of the following conditions?
a. Toxicity b. Psychologic dependence c. Physical dependence d. Drug tolerance
The nurse is conducting a teaching session with older clients at the community center about the risks for peptic ulcers found with this age group. The nurse includes which of the following information in the session?
1. Peptic ulcer disease (PUD) is likely to be infected with the bacteria H. pylori. 2. PUD in an older client causes less bleeding than in a younger client. 3. The elderly client experiences more severe abdominal pain than a younger client with PUD. 4. Older clients should undergo colonoscopy.
Which of the following foods may have precipitated an attack of gout and consequently may need to be avoided by the client?
1. Gravy, liver, and oil-packed sardines 2. Roquefort cheese, buttermilk, and vegetable soup 3. Chocolate ice cream, chicken-fried steak, and spinach salad 4. Eggs, pecan rolls, and coffee