A nurse is assisting in the care of a client who just started receiving a blood transfusion 5 min ago. Which of the following findings should be reported first to the provider?

Headache

Dyspnea

Hyperthermia

Urticaria

Answer and Explanation

The Correct Answer is B

A.   Headache can be a common side effect of blood transfusion but is not typically considered an urgent or life-threatening complication requiring immediate reporting.
B.   Dyspnea (difficulty breathing) can indicate a serious transfusion reaction such as transfusion- related acute lung injury (TRALI) or circulatory overload and should be reported immediately to the provider for further evaluation and intervention.
C.   Hyperthermia (elevated body temperature) may indicate a febrile reaction to the transfusion but is not as immediately life-threatening as dyspnea.
D.   Urticaria (hives) is a common allergic reaction to blood transfusion but is not typically considered as urgent or life-threatening as dyspnea.

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Correct Answer is C

Explanation

A. Eating apples and black-eyed peas is not typically associated with impaired bowel

elimination. In fact, these foods are often considered high in fiber, which can promote regular bowel movements.
B. Drinking an adequate amount of water daily is generally beneficial for bowel health and can help prevent constipation.

C. Taking opioid pain medication is a significant risk factor for impaired bowel elimination.
Opioids are known to slow down bowel motility and can lead to constipation.
D. Drinking coffee in moderation may have a mild laxative effect for some individuals and is not necessarily indicative of impaired bowel elimination.

A. Overweight B. Ideal body weight C. Obese D. Underweight

Correct Answer is A

Explanation

A. BMI of 29 falls within the overweight range, which is typically defined as a BMI between 25 and 29.9.
B. A BMI of 29 does not fall within the ideal body weight range, which is typically considered to be between 18.5 and 24.9.
C. Obesity is typically classified as a BMI of 30 or higher. While a BMI of 29 is close to the obese range, it falls within the overweight category.
D. A BMI of 29 does not fall within the underweight range, which is typically considered to be a BMI below 18.5.

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A nurse is assisting in the care of a client who just started receiving a blood transfusion 5 min ago. Which of the following findings should be reported first to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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