Nokea
To ensure client safety before starting blood transfusions, the following are needed before the procedure can be done EXCEPT:
- A. take baseline vital signs
- B. warm the blood to room temperature for 30 minutes before administering the transfusion
- C. have two nurses verify client identification, blood type, unit number, and expiration date of blood
- D. get consent signed for blood transfusion
Correct Answer: D
Rationale: To ensure client safety before starting blood transfusions, taking baseline vital signs, warming the blood to room temperature, and having two nurses verify client identification, blood type, unit number, and expiration date of blood are crucial steps. Consent for blood transfusion is required but is typically obtained before the procedure. The focus before the procedure should be on confirming the right client, blood product, and ensuring the blood is prepared correctly to minimize risks of transfusion reactions.
You may also like to solve these questions
Which meal should be removed for a client taking warfarin?
- A. Oriental cabbage salad with chicken
- B. Beef enchilada, rice, and beans
- C. Ham and cheese sandwich
- D. Macaroni salad and grapefruit slices
Correct Answer: C
Rationale: The correct meal to remove for a client taking warfarin is the 'Ham and cheese sandwich.' Ham is high in vitamin K, which can interfere with the effectiveness of warfarin, a medication that works by decreasing the clotting ability of the blood. Vitamin K can counteract the effects of warfarin by promoting blood clotting. Choices A, B, and D do not contain high amounts of vitamin K and are therefore safer options for individuals taking warfarin.
As a nurse assigned for care for geriatric patients, you need to frequently assess your patient using the nursing process. Which of the following needs be considered with the highest priority?
- A. Patients own feeling about his illness
- B. Safety of the client especially those elderly clients who frequently falls
- C. Nutritional status of the elderly client
- D. Physiologic needs that are life threatening
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Diego is undergoing blood transfusion of the first unit. The earliest signs of transfusion reactions are:
- A. Oliguria and jaundice
- B. Urticaria and wheezing
- C. Headache, chills, & fever
- D. Hypertension and flushing
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In alcoholic patient, the nurse knows that the vitamin deficient to these types of clients that leads to psychoses is:
- A. Thiamine C. Niacin
- B. Vitamin C D. Vitamin A
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the priority nursing goal for an adolescent with anorexia nervosa?
- A. Encourage effective coping skills
- B. Restore normal eating habits
- C. Stop weight loss or restore weight
- D. Promote realistic self-image
Correct Answer: C
Rationale: The priority nursing goal for an adolescent with anorexia nervosa is to stop weight loss or restore weight. This is crucial in addressing the immediate health risks associated with anorexia nervosa, such as malnutrition, organ damage, and potential life-threatening complications. While encouraging effective coping skills, restoring normal eating habits, and promoting a realistic self-image are important aspects of treatment, stopping weight loss or restoring weight takes precedence due to the severe physical consequences of anorexia nervosa.