When an elderly client receiving a blood transfusion presents with an elevated blood pressure, distended neck veins, and shortness of breath, the client is most likely experiencing
A) Allergic reaction
B) Pulmonary embolism
C) Fluid overload
D) Anaphylaxis
Ans: C
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A child has had a closure device inserted in interventional radiology for an atrial septal defect (ASD). Two hours later the child is pale, tachycardic, and hypotensive. Which action by the nurse takes priority?
A. Administer a beta blocker to slow the heart rate down. B. Document findings then notify the health-care provider. C. Increase the rate of the IV fluid administration. D. Prepare the child to return to interventional radiology.
The nurse is taking an advanced cardiac life support (ACLS) recertification class. As part of that class, the nurse, and other nurses in the group, rotates responsibilities during multiple mock code exercises simulating cardiac arrest scenarios
The process of assigning nurses to different responsibilities is known as: a. concept mapping. b. simulation. c. role playing. d. literature review.
Which instructions should a nurse provide to a patient just before a scheduled spirometry test? (Select all that apply.)
a. Avoid smoking 4 to 6 hours before test. b. Do not use bronchodilator medications for at least 4 hours. c. Exercise for a few minutes. d. Drink 2 glasses of fluid. e. Avoid eating.
The client uses continuous positive airway pressure (CPAP) at home and tells the home care nurse that the mask fits too tightly. Which does the nurse implement?
1. Uses a simple facemask 2. Maintains tight fit to face 3. Enlarges several air holes 4. Loosens the mask's straps