When administering a blood transfusion to a client, which tasks can the nurse delegate to the experienced unlicensed personnel? (Select all that apply.)
a. Assisting the client to a comfortable position
b. Reporting any complaints to the physician
c. Taking the client's vital signs
d. Verifying the client's identity with the nurse
A, C
Two professional nurses are required to verify the client's identity and verify the blood product being used is correct. An unlicensed personnel can assist the client to a comfortable position and can take (and usually chart) the client's vital signs. Any client complaints should be reported to the nurse, not the physician, by the unlicensed personnel.
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A patient is admitted to the hospital with genital herpes. The nurse would expect which of the following medications to be ordered to suppress the symptoms and shorten the course of the infection?
A) Clotrimazole (Gyne-Lotrimin) B) Metronidazole (Flagyl) C) Podophyllin (Podofin) D) Acyclovir (Zovirax)
The school nurse recommends that the parents of a student seek help because the student is constantly in trouble and recently has set several small fires on school grounds. What condition is the school nurse suspecting?
1. Depression 2. Conduct disorder 3. Oppositional defiant disorder 4. Attention-deficit/hyperactivity disorder
When assessing a client, what data should be collected? (Mark all that apply.)
A) Intolerance to heat B) Reports of insomnia C) Intolerance to cold temperatures D) Decreased fatigue E) Increased anxiety level
A woman who lives in Seattle is preparing to
take a plane trip to London. She has been taking the SERM raloxifene (Evista) for 6 months. The nurse will provide which instructions to this patient? a. She needs to stop taking the drug at least 72 hours before the trip. b. She must remember to take this drug with a full glass of water each morning. c. She will not take the drug while traveling on the plane. d. No change in how the drug is taken will be needed.