The nursing intervention that is the priority when preparing to administer blood is
a. administration of pretransfusion antihistamines.
b. asking a second health care professional to confirm blood acceptability.
c. establishing baseline vital signs.
d. obtaining a written order for the transfusion.
B
All options are reasonable. Baseline vitals are important to compare against subsequent ones. There will be a written order for the transfusion at some point; either the physician or the nurse will write the order. Some clients will need premedication before a transfusion, but the most critical phase of transfusion is confirming product compatibility and verifying client identity. Most transfusion reactions can be traced to improper product-to-patient identification. Two pro-fessional nurses are required to perform that task.
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A patient is administered promethazine (Phenergan) for nausea and vomiting. Which of the following is an adverse effect of promethazine (Phenergan)?
A) Urinary incontinence B) Tachycardia C) Taste alteration D) Extrapyramidal symptoms
The basic concepts and fundamental moral principles that govern conduct are known as _________________________
ANS:
While the nurse realizes that the definition of health is unique to the client, the most universal factor is that health is:
1. Dynamic and ever-changing 2. Affected and managed by the nurse 3. Determined by internal and external forces 4. Perceived and defined by the individual
A nursing instructor is describing the connection between information and health literacy and critical thinking. Which of the following would the instructor most likely include as aspects of critical thinking?
A) A single-angle focused approach to a problem B) A set of skills for processing information C) Providing answers to questions D) Setting boundaries for information seeking