Which does the nurse use to prime tubing used in the administration of blood?
1. 0.9% saline solution
2. 5% dextrose in water
3. 10% dextrose in water
4. Lactated Ringer's solution
1
1, 2, 3, and 4. The only compatible solution for blood administration is normal saline solution because it is an isotonic fluid.
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The nurse observes a school-age client have an absence seizure. When documenting the seizure in the medical record, which is the most appropriate?
A) "Pulled arms in toward the body and flexed hands over the chest. This lasted 2 minutes." B) "Became unconscious, and all four extremities were jerking uncontrollably for 2 minutes." C) "Repeatedly moved from the chair to the bed while touching the arms for a length of 2 minutes." D) "Sat very still and was unresponsive with a blank stare for 2 minutes."
A client has end-stage kidney disease (ESKD). The nurse observes tall, peaked T waves on the client's cardiac monitor. Which action by the nurse is best?
a. Check the serum potassium level. b. Document the finding in the client's chart. c. Prepare to give sodium bicarbonate. d. Call the health care provider to request an electrocardiogram (ECG).
The pediatric nurse is familiar with Kubler-Ross's stages of grief. Parents who are feeling guilty and try to find any cause for their child's illness or blame others for the illness are in which stage of grief?
A) Denial B) Grief C) Bargaining D) Acceptance
In comparing the preterm infant with the term infant the nurse recognizes which characteristic would likely be seen in the male preterm infant?
A) Smooth skin B) Lanugo on the back and shoulders C) Descended testicles D) Subcutaneous fat on the extremities