Two units of packed cells are ordered as a blood transfusion for an older adult. The nurse knows that
A) each unit of blood should be administered over 2 hours.
B) the client should be assessed before, during, and after the transfusions for signs of fluid overload.
C) a diuretic is usually ordered to be given 1 hour before the transfusions are initiated.
D) transfusions should be administered only through central venous catheters in older clients.
B
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In assessing a family, the community nurse uses a family assessment tool, which provides an organized framework to collect data concerning which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Access to laundry and grocery facilities 2. Access to health care 3. Sharing of religious beliefs and values 4. Acculturation to traditional lifestyles 5. Ability to include a new spouse into the family unit
Which patient should be assigned to an experienced LPN/LVN?
a. One day post-op coronary artery bypass graft (CABG) who is on telemetry with T 37.1° C, BP 95/50, P 92, R 18 b. Two day post-op appendectomy with T 36.8° C, BP 118/78, P 78, R 18 c. Snake bite 2 days prior with hematuria, melena, and blood seepage at the IV site with stable vital signs d. One day post cerebral vascular accident (CVA) on a heparin drip experiencing increasing hemiplegia, with stable vital signs
Some nursing students have been given an assignment to develop a research question from a quantitative approach. Which of the following would be an example of a quantitative research question in the clinical area?
1. How do siblings react to a new baby of a second marriage after divorce of their parents? 2. What dressing selections work best for a wound dehiscence? 3. What support do terminal cancer clients find least beneficial in hospice care? 4. Does expression of client spirituality affect recovery time?
The patient was found unresponsive in an apartment and is being brought to the emergency department. The patient has arm, hand, and leg edema, temperature is 95.6° F, and hands are cold secondary to a history of peripheral vascular disease
It is reported that the patient has a latex allergy. What should the nurse do to quickly measure the patient's oxygen saturation? a. Attach a finger probe to the patient's index finger. b. Place a nonadhesive sensor on the patient's earlobe. c. Attach a disposable adhesive sensor to the bridge of the patient's nose. d. Place the sensor on the same arm that the electronic blood pressure cuff is on.