A patient is prescribed a transfusion of washed packed red blood cells. What should the nurse realize as being the rationale for the using this type of blood?
a. Reduces the risk of hypothermia
b. Cleans the blood cells of impurities
c. Reduces the risk of a febrile reaction
d. Removes potential harmful particles from the blood
ANS: C
The washing process removes almost all the plasma and can decrease the risk or severity of a febrile reaction. A. Hypothermia risk is reduced by warming blood. B. There is no process that removes impurities from cells. D. Harmful particles can be removed with filtering.
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The nurse is caring for a patient who is scheduled for a lumbar puncture. Which of the following nursing interventions should the nurse anticipate providing? (Select all that apply.)
a. Ensure that the patient has given informed consent to the procedure. b. Position the patient prone on the bed. c. Keep the patient on bedrest with the head of the bed flat for 6 hours after the procedure. d. Limit fluid intake. e. Assess movement and sensation of lower extremities frequently for several hours after the procedure. f. Check the puncture site for swelling or drainage.
The nurse is teaching a class about the autonomic nervous system for critical care nurses. What statements, if made by the nurse during the class, are accurate? (Select all that apply.)
A) "Adrenergic receptors respond to norepinephrine." B) "Adrenergic receptors are part of the sympathetic nervous system." C) "Cholinergic receptors are part of the parasympathetic nervous system." D) "Cholinergic receptors include alpha- and beta- receptors." E) "Cholinergic and adrenergic receptors are part of the autonomic nervous system."
The most important reason for evaluating the pattern of weight gain in pregnancy is to
a. Prevent excessive adipose tissue deposits. b. Identify potential nutritional problems or complications of pregnancy. c. Assess the need to limit caloric intake in obese women. d. Determine cultural influences on the woman's diet.
An 86-year-old client is admitted to the emergency department from a long-term facility. The client has Alzheimer's disease, a history of falls with injury, atrial fibrillation, and a fever of unknown origin
The chest x-ray reveals a possible area of consolidation in the right lower lobe. The client is restless, irritable, and agitated. For best practice, prioritize the actions the nurse would take. (Prioritize sequence.) 1. Review drugs and doses 2. Serve as client advocate 3. Communicate with long-term facility 4. Assess for comfort and safety 5. Investigate vague signs and symptoms