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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Condoms are designed for single use only and should be disposed of after each use.
B. Storing condoms in a cool, dry place away from direct sunlight or heat sources (like a nightstand drawer) helps maintain their integrity and effectiveness.
C. Natural-skin condoms do not protect effectively against STIs as they are porous.
D. Petroleum jelly can degrade latex, reducing the effectiveness of the condom.
Water-based lubricants are recommended.
Correct Answer is ["2"]
Explanation
To convert the prescribed dose of levothyroxine from micrograms to milligrams, we need to remember that 1 milligram (mg) is equal to 1000 micrograms (mcg). Therefore, 50 micrograms is equal to 0.050 mg. The available medication is 0.025 mg per tablet. To find out how many tablets the nurse should administer, we divide the prescribed dose in milligrams by the strength of the available tablets: 0.050 mg divided by 0.025 mg/tablet equals 2.
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