The nurse has initiated a blood transfusion. Which action is now priority?
A)
Assign the UAP to sit with the client for 15 minutes.
B)
Stay with the client and closely observe him for the first 5–10 minutes of the transfusion.
C)
Advise the client to notify the nurse if he experiences any chilling, nausea, flushing, or rapid heart rate.
D)
Return to the room and take a set of vital signs in 15 minutes.
B
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The nurse is assessing a patient's pain using the pain scale. The patient is tearful, hesitant to move, and grimacing. The patient rates the pain at this time as a 2 using the pain scale. The nurse should conclude which of the following?
A) The patient has rated the pain as minimal according to the scale. B) The nurse should reinforce teaching about the pain scale number system. C) The nurse should reassess the pain in 30 minutes. D) The medication the patient is receiving is not adequate for pain relief.
Which of the following best describes the proportion of the U.S. population that is made up of persons with a long-lasting condition or disability?
a. The number is about 5% and increasing. b. The number is about 10% and stable. c. The proportion is about 15% and stable. d. The proportion is almost 20% and increasing.
The 80-year-old patient has fallen. The fall impacted the right arm and hip. The patient describes the fall as painful, the skin is intact, and neither edema nor redness is noted. What is the emergency department care team's best course of action?
A) Discharge the patient home with instructions to follow up with the family doctor if further pain is noted. B) Assess the patient for fractures in spite of the absence of obvious signs or symptoms. C) Refer the patent to physiotherapy for rehabilitation. D) Design an exercise program to increase the patient's stamina to prevent future falls.
The family of a patient who has been on long-term corticosteroids brings him to the emergency department. The wife states that, "He just started coughing forcefully and began complaining of chest pain
Now he is having a little difficulty breathing." The nurse should assess the patient for a. muscle spasm. b. myocardial infarction. c. broken ribs. d. pleuritis.