Nokea
A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take first if a transfusion reaction is suspected?
- A. Stop the transfusion.
- B. Notify the provider.
- C. Increase the infusion rate.
- D. Administer an antihistamine.
Correct Answer: A
Rationale: Stopping the transfusion is the first action to prevent further harm if a transfusion reaction is suspected.
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A nurse is reinforcing teaching with a client who has a new prescription for a vaginal estrogen cream. Which of the following instructions should the nurse include?
- A. Apply the cream to the external genitalia.
- B. Use the cream daily for 3 months.
- C. Insert the applicator deeply into the vagina.
- D. Store the cream at room temperature.
Correct Answer: C
Rationale: Inserting the applicator deeply into the vagina ensures the estrogen cream is delivered effectively to treat vaginal atrophy.
A nurse is caring for a client who has a new diagnosis of peripheral artery disease. Which of the following findings should the nurse expect?
- A. Intermittent claudication
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Intermittent claudication, pain in the legs during activity, is a common symptom of peripheral artery disease due to reduced blood flow.
A nurse is caring for a client who has a new diagnosis of esophageal varices. Which of the following findings should the nurse expect?
- A. Hematemesis
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Hematemesis, vomiting blood, is a common symptom of esophageal varices due to portal hypertension.
A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to drink a laxative solution the day before the procedure.
- B. I will need to eat a high-fiber diet for 2 days before the procedure.
- C. I can have a light breakfast on the morning of the procedure.
- D. I will need to remain NPO for 24 hours after the procedure.
Correct Answer: A
Rationale: Drinking a laxative solution the day before a colonoscopy is necessary to clear the colon, ensuring a clear view during the procedure.
A nurse is caring for a client who has a new prescription for trazodone. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Trazodone, an antidepressant, commonly causes drowsiness, which can affect safety and coordination.