The nurse selects appropriate tubing for a blood transfusion by ensuring that the tubing has
a. Two-way valves to allow the patient's blood to mix and warm the blood transfusing.
b. An injection port to mix additional electrolytes into the blood.
c. An air vent to let bubbles in the blood escape.
d. A filter to ensure that clots do not enter the patient.
D
All blood transfusions must have a filter to prevent microemboli from being administered to the patient. The patient's blood should not be aspirated to mix with the infusion blood. The blood should not have air bubbles to vent; if a bag of blood does have bubbles, the nurse should promptly return the blood to the blood bank. The only substance compatible with blood is normal saline; no additives should be mixed with the infusing blood.
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When should the nurse instruct a female patient using the basal body temperature method of contraception to refrain from having sexual intercourse?
A) Four days after noticing a temperature rise B) Fourteen days after the last day of the menstrual period C) Three days after recording a slight drop in temperature followed by an increase D) Three to 4 days after recording a slight increase followed by a dip in the temperature
When administering SSKI (saturated solution of potassium iodide) to a client, the nurse:
a. mixes the drug in carbonated soda to make it more palatable. b. asks if the client is allergic to iodine. c. encourages the client to drink the liquid without using a straw. d. documents the administration prior to giving the med.
A nurse is planning a class for school-age children on obesity. Which percentile does the BMI need to exceed for a child to be assessed as obese?
What will be an ideal response?
The nurse administering medications in a healthcare facility compares and confirms the medication name and dosage with the client's MAR three times before administering it. Which of the following is one of the recommended times?
A) After removing the medication from the storage area to the cart B) When placing the medication in the medication cup or envelope C) After administering the medication to the client D) When documenting the administration of the medication