The nurse is caring for the client with massive blood loss from a gunshot wound. With little time to spare, which blood type is infused?
A) Type A
B) Type B
C) Type A/B
D) Type O
D
Feedback:
When in an emergency situation, the safest blood type to infuse in type O, meaning that there are no antigens on the red blood cell. This is the universal donor blood type, which is compatible. The other blood types may cause a transfusion reaction.
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The nurse evaluates a need for further instruction to the patient with Barrett's esophagus when the patient says:
a. "I gave up smoking for my health." b. "I can still have a small glass of wine with dinner." c. "I am using chewing tobacco instead of smoking." d. "I eat slowly and do not lie down after a meal."
The nurse suspects that a client has a problem with the action dimension of immediacy when she states, "You can't tell people very much about yourself; it gives them too much power over you.". The nurse responds:
a. "It sounds as though people have tried to control you inappropriately in the past.". b. "It's reasonable for you to be suspicious of me until I've earned your trust.". c. "Allowing yourself to trust people will be a step toward getting well.". d. "It appears that you aren't ready to discuss your problems yet.".
The nurse is concerned that an older client will have difficulty self-administering medications when what is assessed?
1. Eats several servings of fruits and vegetables each day. 2. Altered memory. 3. Decreased visual acuity. 4. Decreased manual dexterity. 5. Limits red meat in the diet.
The nurse asks the patient to hold the arms straight out, perpendicular to the floor, and the nurse tries to push the patient's arms down. This procedure tests the strength of which muscles?
a. Triceps b. Biceps c. Trapezius d. Deltoid