A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse plan to take?
Check the unit of blood with an assistant personal (AP).
Plan to infuse the unit of blood over 6 hr.
Remain with the client for the first 15 minutes of the transfusion.
Pre-medicate the client with an antiemetic.
The Correct Answer is C
A. The blood must be checked by two licensed professionals, not an assistant personal (AP).
B. Blood should be infused within 4 hours to reduce the risk of bacterial contamination.
C. The nurse should remain with the client for the first 15 minutes of the transfusion to monitor for any immediate adverse reactions.
D. Pre-medicating with an antiemetic is not a standard practice unless specifically indicated by the client's history or condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. It is not accurate to say it is never permissible; some herbal supplements may be safely used with certain medications under professional guidance.
B. Herbs can have pharmacologic effects and may interact with prescription medications, even if they are not classified as drugs in the U.S.
C. Referring to an herbalist is not the best immediate response; the nurse should first address potential interactions and safety concerns.
D. Herbs can indeed have pharmacologic effects and interact with prescription medications, potentially causing adverse effects or altering the effectiveness of the medications.
Correct Answer is D
Explanation
A. Concerns about amenorrhea and breast atrophy are more commonly associated with anorexia nervosa.
B. Refusal to eat is more characteristic of anorexia nervosa.
C. Refusal to exercise is not typically associated with bulimia nervosa.
D. Binge gorging with purging by vomiting is a hallmark behavior of bulimia nervosa, where individuals consume large amounts of food and then attempt to eliminate the excess calories through purging methods such as vomiting.
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