The preoperative patient tells the nurse that she is afraid that she may experience a reaction if she must receive blood during or after her surgery. What is the nurse's best response to the patient's concern?
a. The likelihood that you will need a blood transfusion for your surgery is minimal, so don't worry about this
b. You could donate some of your own blood a few weeks before your surgery. (autologous donation)
c. With todays technology and procedures, it is very unlikely that you would have a reaction to donated blood.
d. The nursing staff follows strict procedures to prevent such an event from ever happening
Answer: b. You could donate some of your own blood a few weeks before your surgery. (autologous donation)
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The nurse is caring for four clients with traumatic brain injuries. Which client should the nurse assess first?
a. Client with cerebral perfusion pressure of 72 mm Hg b. Client who has a Glasgow Coma Scale score of 12 c. Client with a PaCO2 of 36 mm Hg who is on a ventilator d. Client who has a temperature of 102 ° F (38.9 ° C)
When working with staff from different cultures, it is important to realize that there may be different perceptions of a variety of areas that are inherent in the health care regime
Which of the following is not one of these potential areas of differing perception? a. staff responsibilities c. locus of control b. the health care practitioner d. time orientation
Upon entering a patient's room to complete discharge instructions, the nurse discovers the patient in tears. The business office has stated that the patient cannot leave until someone pays a portion of the hospital bill
What should the nurse do? 1. Call social services to request an immediate financial evaluation. 2. Continue preparations for discharge, comforting the patient as much as possible. 3. Stop discharge preparations until the patient is cleared by the billing office. 4. Cancel the discharge plans and notify the physician of the patient's status.
A patient is exhibiting dyspnea, orthopnea, cyanosis, clammy skin, crackles, and a productive cough with pink, frothy sputum. Which health problem should the nurse suspect is occurring in this patient?
1. chronic heart failure 2. pulmonary edema 3. endocarditis 4. angina