A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

Place the client in high-Fowler's position.

Administer oxygen to the client.

Stop the transfusion.

Obtain a prescription for a diuretic.

Administer epinephrine to the client.

Answer and Explanation

Correct Answer : A,B,C

A.   Placing the client in high Fowler's position helps improve lung expansion and oxygenation.
B.   Administering oxygen helps address hypoxia and supports adequate oxygenation.
C.   Stopping the transfusion is crucial when signs of a transfusion reaction are present.
D.   Administering a diuretic is not typically indicated for transfusion reactions involving lung crackles, hypoxia, and distended neck veins.
E.   Epinephrine is not typically used to manage a blood transfusion reaction; it's more for severe allergic reactions like anaphylaxis.

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Correct Answer is A

Explanation

A. Assault: Involves the threat of bodily harm or unwanted touching, creating fear or apprehension that an offensive contact or bodily harm will occur.
B. Defamation: Involves making false statements that damage a person's reputation.
C. Battery: Involves the unauthorized touching or administering treatment without consent.
D. Invasion of privacy: Involves violating a person's right to privacy, which doesn't apply in this scenario.

A. "Maintain a lean body mass." B. "Walk for 30 minutes three to five times each week." C. "Increase intake of vitamin B12." D. "Perform water aerobics three times each week."

Correct Answer is B

Explanation

A. Maintaining a lean body mass can be beneficial but may not directly prevent osteoporosis.
B. Weight-bearing exercises, such as walking, are known to help maintain bone density and prevent osteoporosis.
C. While vitamin B12 is essential for health, it's not specifically linked to osteoporosis prevention.
D. Water aerobics are good for overall fitness but might not have the same impact on bone health as weight-bearing exercises.

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A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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