The nurse is preparing to administer transfusion therapy to a client. Which interventions does the nurse implement before starting the infusion? (Select all that apply.)
a. Confirm the client's room number with the blood tag.
b. Check the client's ABO and Rh types with the blood tag.
c. Place a 20-gauge needle or larger in the client's forearm.
d. Obtain the client's pulse oximetry reading.
e. Assess the client's temperature.
B, C, E
Before giving any transfusion therapy, two nurses must examine the blood tag and the requisition slip to ensure that the ABO and Rh types are compatible. The client's room number is not an ac-ceptable form of identification. A larger needle (at least a 20-gauge needle) should be used, and blood pressure, pulse, respirations, and temperature should be obtained. Obtaining an oxygen saturation reading is unnecessary.
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Which are considered ways of decreasing the image of power for nurses? Select all that apply
1. Wearing a crisp, clean uniform 2. Addressing others in endearing terms 3. Using power plays to achieve goals 4. Becoming aggressive in advocating for clients 5. Accepting orders without question
The charge nurse is making assignments for a group of clients on a medical unit. When reviewing the acuity of the clients, the charge nurse assigns the RN to the clients with higher acuity levels
Why would the charge nurse assign the RN to the patient's with a higher acuity? A) LPNs do not understand how to care for clients with complex disorders. B) Assigning an LPN would allow them to provide care out of their scope of practice. C) Higher acuity clients request the services of an RN versus other care providers. D) A higher acuity client requires a greater need for highly skilled care.
An 18-year-old male patient informs the nurse that he isn't sure if he is homosexual because he is attracted to both genders. Which response by the nurse will help establish a trusting relationship?
a. "Don't worry. It's just a phase you will grow out of." b. "Those are abnormal impulses. You should seek therapy." c. "At your age, it is normal to be curious about both genders." d. "Having questions about sexuality is normal but if these sexual activities make you feel bad you should stop."
A patient is in severe shock and is receiving vasopressin. A student asks the health care professional to explain the rationale for this treatment. What response by the professional is most accurate?
a. “Antidiuretic hormone conserves fluid when urine output is less than 20 mL/hr.” b. “Antidiuretic hormone causes serum osmolality to be increased.” c. “Antidiuretic hormone leads to better insulin utilization.” d. “Antidiuretic hormone causes vasoconstriction to help increase blood pressure.”