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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?

Hyperthermia

Urticaria

Dyspnea

Headache

Answer and Explanation

The Correct Answer is C

Rationale:

A. Hyperthermia may indicate a transfusion reaction, but dyspnea is a more immediate concern.

B. Urticaria may indicate a mild allergic reaction, but dyspnea is a more immediate concern.

C. Dyspnea is a sign of a possible transfusion reaction and should be reported immediately to the provider.

D. A headache may indicate a mild reaction to the blood transfusion, but dyspnea is a more immediate concern.

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Correct Answer is B

Explanation

Rationale:

A. Creating advance directives to donate organs is not a primary purpose of advance directives.

B. Naming a sibling as a designee in a durable power of attorney for health care is a valid choice for appointing a healthcare proxy.

C. Advance directives do not require approval from an attorney.

D. A family member does not need to witness the client's signature on a living will.

A. Provide the client with three large meals each day. B. Limit snacks between meals. C. Provide the client with finger foods for meals. D. Restrict visitors during meals.

Correct Answer is C

Explanation

Rationale:

A. Providing the client with three large meals each day may be overwhelming and may not promote an increase in food intake.

B. Limiting snacks between meals may not promote an increase in food intake and may contribute to malnutrition.

C. Providing the client with finger foods for meals is a practical approach that can promote an increase in food intake and reduce the risk of malnutrition.

D. Restricting visitors during meals may not promote an increase in food intake and may contribute to social isolation.

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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

A nurse is reinforcing teaching with a client about advance directives. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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