The nurse administers blood to the client and observes that the client has tachycardia, chills, and lower back pain. Which should the nurse implement first?
1. Notify the provider.
2. Notify the blood bank.
3. Complete the vital signs.
4. Remove the IV tubing.
4
4. Once the nurse suspects a transfusion reaction, the nurse immediately stops the infusion so that the client receives no additional blood from the current bag and quickly primes different IV tubing with saline solution. The nurse uses this to replace the blood tubing but retains the blood and the tubing for the blood bank.
1, 2, and 3. The nurse completes the vital signs and then notifies the provider and the blood bank. Stopping the infusion is the priority to limit the transfusion reaction as much as possible.
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a. An exercise program b. Calcium supplements c. A diet rich in carbohydrates d. Both A and B
A patient in the early stage of rheumatoid arthritis (RA) has recently been diagnosed. What medication classification would the nurse expect to be ordered for this patient?
A) Antimalarial agents B) Nonsteroidal anti-inflammatory drugs (NSAIDs) C) Xanthine oxidase inhibitors D) Uricosuric agents
When teaching clients how to minimize local skin reactions from insulin injections, the nurse should instruct the clients to:
a. keep insulin refrigerated until ready to draw up and administer. b. inject insulin slowly. c. give insulin in divided doses. d. bring the insulin to room temperature before injection.
A leader's respect for others is not shown by
a. Listening closely to subordinates. B Being empathic. c. Being tolerant of opposing points of view. d. Being apathetic.