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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Acupuncture is considered higher risk and usually requires specialized training.
B. Acupressure is also higher risk and requires specific knowledge and skill.
C. Music, relaxation, and touch are considered low-risk therapies that can be safely used by nurses to enhance patient comfort and well-being.
D. Hypnotherapy is a more specialized therapy that may require additional training.

A. Stiffness in the lower extremities B. Difficulty moving the upper extremities C. A reddened area over the sacrum D. Difficulty hearing some types of sounds

Correct Answer is C

Explanation

A. Stiffness in the lower extremities can occur but is not a primary complication of immobility.
B. Difficulty moving the upper extremities is a result of the stroke, not immobility.
C. A reddened area over the sacrum indicates a pressure ulcer, a common complication of immobility.
D. Difficulty hearing some types of sounds is unrelated to immobility.

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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?

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Naxlex Comprehensive Predictor Exams

Which of the following are examples of low-risk complementary and alternative therapies that nurses can use with their clients?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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