A nurse is caring for an adult client who has chronic anemia and is scheduled to receive a transfusion of 1 unit of packed RBCs. Which of the following actions should the nurse take?

Administer the blood via a 21-gauge IV needle.

Flush the blood administration tubing with 0.9% sodium chloride prior to the transfusion.

Check the client's vital signs from the previous shift prior to the initiation of the transfusion.

Set the IV infusion pump to administer the blood over 6 hr.

Answer and Explanation

The Correct Answer is B

A.   A larger-bore needle (usually 18- to 20-gauge) is recommended for blood transfusions to prevent hemolysis and ensure adequate flow rate.
B.   Flushing the tubing with 0.9% sodium chloride ensures that it is primed and free from air or any incompatible solutions before starting the blood transfusion.
C.   Vital signs should be checked immediately before, during, and after the transfusion to monitor for adverse reactions.
D.   Blood transfusions are typically completed over 2 to 4 hours, depending on the clinical context, to reduce the risk of complications.

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Correct Answer is D

Explanation

A. Splitting behavior, where the client views people and situations as either all good or all bad, is more characteristic of borderline personality disorder rather than histrionic personality disorder.
B. Emotional lability, characterized by rapid shifts in mood, is not a primary feature of histrionic personality disorder.
C. Unexpressive affect, or a lack of emotional expression, is not a typical feature of histrionic personality disorder, which often presents with exaggerated and dramatic emotional displays.
D. Self-centered behavior, including attention-seeking and dramatic behavior to gain approval or admiration from others, is a hallmark feature of histrionic personality disorder.

A. "You can douche twice weekly." B. "Wear loose-fitting clothing." C. "Wear flat or low-heeled shoes." D. "Take hot showers to help relieve itching." E. "You should avoid fried foods." F. "Try using an abdominal support belt." G. "Eat two large meals a day."

Correct Answer is ["B","C","E","F"]

Explanation

A. Douching is not recommended during pregnancy as it can disrupt the natural balance of vaginal flora and increase the risk of infection.
B. Loose-fitting clothing allows for better air circulation and can help prevent discomfort and irritation, especially with increased sweating and vaginal discharge during pregnancy.

C. Flat or low-heeled shoes provide better support and stability, reducing the strain on the back and pelvis, which can alleviate backaches common during pregnancy.
D. Hot showers can exacerbate itching, especially if the skin is already irritated.

Lukewarm or cool showers are preferable for relieving itching.

E. Fried foods can contribute to heartburn and indigestion, which are common during pregnancy due to hormonal changes and increased pressure on the stomach from the growing uterus.
F. An abdominal support belt can help alleviate backaches by providing additional support to the abdomen and reducing strain on the back muscles.
G. Eating frequent, smaller meals throughout the day is recommended during pregnancy to help manage heartburn, prevent overeating, and maintain stable blood sugar levels.

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A nurse is caring for an adult client who has chronic anemia and is scheduled to receive a transfusion of 1 unit of packed RBCs. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?

Correct Answer is D

Explanation

A nurse in an outpatient clinic is caring for a client. Exhibits Which of the following statements should the nurse include in the client's teaching? Select all that apply.

Correct Answer is ["B","C","E","F"]

Explanation

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