A charge nurse is supervising a newly licensed nurse care for a client who is receiving a transfusion of packed RBC. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse?

The nurse collects a urine specimen.

The nurse starts the transfusion of another unit of blood product.

The nurse initiates an infusion of 0.9% sodium chloride.

The nurse sends a blood specimen to the laboratory.

Answer and Explanation

The Correct Answer is B

A. Collect urine specimen
Appropriate to assess for hemoglobinuria during a hemolytic reaction.

B. Starts another unit of blood
Incorrect action—transfusion must be stopped and not restarted without provider evaluation.

C. Initiates 0.9% sodium chloride infusion
Maintains vascular access and supports renal perfusion-appropriate.

D. Sends blood specimen
Required for follow-up testing and identification of reaction cause.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Partner with a nonprofit farmers' market.
Helpful for food access, but doesn’t address transportation or mobility for elderly.

B. Teach dangers of lead-based paint.
Relevant for younger populations or in homes with children.

C. Advocate for more transportation to health facilities.
Most appropriate for helping elderly on fixed incomes access care.

D. Write grants for childcare funding.
Beneficial for children, but not relevant to the elderly population in question.

A. Neurogenic shock B. Hypovolemic shock C. Obstructive shock D. Septic shock

Correct Answer is B

Explanation

A. Neurogenic shock
Caused by spinal cord injury or CNS trauma; not blood loss.

B. Hypovolemic shock
Caused by significant blood loss (800 mL); matches the scenario.

C. Obstructive shock
Due to physical obstruction like a PE or cardiac tamponade.

D. Septic shock
Results from infection, not acute blood loss.

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A charge nurse is supervising a newly licensed nurse care for a client who is receiving a transfusion of packed RBC. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Some elderly people with health issues in a more established neighborhood are on fixed incomes and have trouble getting around. Which of the following could the community health nurse do to assist them?

Correct Answer is C

Explanation

A nurse is providing postoperative care to a client who lost 800 mL of blood during surgery. The client's blood pressure has been steadily decreasing over the past 2 hr. Which of the following categories of shock should the nurse recognize is occurring?

Correct Answer is B

Explanation

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A nurse is reinforcing teaching to a newly licensed community nurse about the benefits of being part of the American Nurses Association (ANA). Which response by the newly licensed nurse indicates understanding of the information presented?

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