A client who has previously required blood transfusions is admitted for another transfusion. Four hours after a unit of blood infuses, the client develops fever, chills, nausea, and headache
The nurse should suspect the client is experiencing which type of transfusion reaction? a. acute hemolytic c. delayed hemolytic
b. allergic urticarial d. febrile nonhemolytic
D
Reactions can be classified as febrile nonhemolytic, allergic urticarial, delayed hemolytic, acute hemolytic, or anaphylactic. The most common is the febrile nonhemolytic reaction, which occurs in people who have had previous blood transfusions; symptoms include fever, chills, nausea, headache, hypotension, and respiratory problems.
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The parents of a 7-year-old girl with type 1 diabetes has been recording her blood glucose measurements before meals and at bedtime for the past 4 days; they are as follows:
Monday Tuesday Wednesday Thursday B: 120 mg/dL 135 mg/dL 124 mg/dL 200 mg/ dL L: 110 mg/dL 120 mg/dL 140 mg/dL 220 mg/dL D: 90 mg/dL 140 mg/dL 130 mg/dL 200 mg/dL Bed: 110 mg/dL 110 mg/dL 160 mg/dL 240 mg/dL The parents bring the child in for a follow-up visit and show the nurse the results. Based on the results, the nurse would need to obtain additional information from the parents and child about which day? A) Monday B) Tuesday C) Wednesday D) Thursday
Although experience may be a source of motivation for the adult learner, it may also serve as a barrier against new learning
Indicate whether the statement is true or false
A 25-year-old pregnant woman comes to the clinic complaining of unilateral hearing loss. The woman says her mother lost her hearing when she was pregnant. What would you suspect the patient has?
A) Otosclerosis B) Ossiculitis C) Mastoid disease D) Chronic otitis media
The client is unstable, so the nurse uses an oscillometric device to measure blood pressures every 15 minutes. Which does the nurse use to verify the accuracy of the blood pressure measurements?
1. The device calculates the diastolic pressure. 2. Knows device adheres to industry standards 3. Blood pressure equates to auscultated pressure. 4. Systolic pressure is within 20% of client baseline.