A nurse is preparing to administer a unit of packed RBCs to a female client who has a hemoglobin of 7.2 g/dL (12 to 16 g/dL). Which of the following actions should the nurse take?

Obtain the blood from the blood bank prior to inserting the peripheral catheter.

Prime the tubing with lactated Ringer's.

Review the medical record for type and crossmatch information.

Identify the client using their full name and room number.

Answer and Explanation

The Correct Answer is C

A. Blood should only be obtained from the blood bank when everything is ready for the transfusion.

B. The tubing should be primed with normal saline, not lactated Ringer's.

C. Reviewing the medical record for type and crossmatch information ensures compatibility and prevents transfusion reactions.

D. Identifying the client should be done using two identifiers, but not room number as per Joint Commission standards (typically full name and medical record number or date of birth).

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Correct Answer is C

Explanation

A. IV access is important for potential medication administration and monitoring, but it is not the immediate priority.

B. Aspirin is important for its antiplatelet effects, but nitroglycerin is typically administered first to relieve acute angina symptoms.

C. Administering nitroglycerin helps to relieve angina by dilating coronary arteries and improving blood flow to the heart. It is the first-line treatment for acute angina.

D. Measuring blood pressure is important for assessing the client's condition, but immediate relief of angina symptoms is the priority.

A. Bilateral pedal pulses 2+. Blood glucose 310 mg/dL B. Pulse rate 84/min C. Blood pressure 106/76 mm Hg D. Temperature 36.8° C (98.2° F) E. Respiratory rate 16/min F. Oxygen saturation 96% on room air

Correct Answer is ["A","B","C"]

Explanation

The client's condition shows signs of improvement as indicated by several findings. The blood glucose level has decreased from 468 mg/dL to 310 mg/dL, which, although still above the normal range, is a significant improvement. The pulse rate has normalized from 110/min to 84/min, and the blood pressure has improved from 96/65 mm Hg to 106/76 mm Hg, indicating better cardiovascular stability. The increase in bilateral pedal pulses from 1+ to 2+ suggests improved circulation.

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A nurse is preparing to administer a unit of packed RBCs to a female client who has a hemoglobin of 7.2 g/dL (12 to 16 g/dL). Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

Correct Answer is ["A","B","C"]

Explanation

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