A nurse has completed care procedures for a client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove first?

A. Collect a urine sample from the client: While collecting a urine sample may be necessary for further assessment, it is not the priority in this situation. The client's symptoms of lower back pain, feeling chilled, and itching suggest a potential transfusion reaction, which requires immediate attention to ensure the client's safety. Therefore, collecting a urine sample is not the most appropriate initial action.

B. Return the platelet bag and tubing to the blood bank: Returning the platelet bag and tubing to the blood bank may be necessary after stopping the infusion, but it is not the first action the nurse should take. Stopping the infusion and assessing the client's condition are the immediate priorities to address the potential transfusion reaction.

C. Notify the provider: While it is important to notify the provider about the client's symptoms and the suspected transfusion reaction, this action should follow after stopping the infusion and assessing the client's condition. Immediate intervention to ensure the client's safety takes precedence over contacting the provider.

D. Stop the infusion: This is the correct action. The client's symptoms of lower back pain, feeling chilled, and itching are indicative of a potential transfusion reaction, such as febrile non-hemolytic transfusion reaction or allergic reaction. The immediate priority is to stop the infusion to prevent further administration of platelets and assess the client's condition. This action takes precedence over other interventions as addressing the client's safety and well-being is paramount in the event of a transfusion reaction.

A) Palliative care is limited to clients who are in a healthcare facility: Palliative care can be provided in various settings, including hospitals, hospices, long-term care facilities, and even in the client's home. It is not limited to clients who are in a healthcare facility.

B) The goal of palliative care is to cure an acute illness for a client: Palliative care focuses on providing relief from the symptoms and stress of a serious illness, rather than curing the illness itself. The primary goal is to improve the quality of life for both the client and their family, focusing on physical, psychosocial, and spiritual aspects of care.

C) Palliative care is restricted to clients who are terminally ill: While palliative care is often associated with end-of-life care for clients with terminal illnesses, it is not limited to this population. Palliative care can be provided at any stage of a serious illness, from diagnosis through treatment, survivorship, or end-of-life care.

D) Palliative care can be provided to a client who is receiving a curative treatment: This is the correct statement. Palliative care can be integrated with curative treatment for clients with serious illnesses. It focuses on managing symptoms, providing emotional support, and improving the overall quality of life, regardless of whether the client is receiving treatment aimed at curing their illness.