A nurse is preparing to administer a unit of red blood cells. The nurse's responsibility is to compare and verify the information on the blood label with the client's information. Which of the following should the nurse use as the priority source of verification?

Medication administration record

Identification wristband

Order sheet

Chart

Answer and Explanation

The Correct Answer is B

Choice A reason: The medication administration record is an important document, but it is not the primary source for verification before administering blood products. It is used to record the administration after the fact.

Choice B reason: The identification wristband is the priority source for verification. It contains the client's essential information, such as name and hospital ID, which must match the blood product label to ensure patient safety⁸.

Choice C reason: The order sheet contains the physician's orders, which is crucial for verifying what has been prescribed but is secondary to the identification wristband for the actual administration process.

Choice D reason: The chart contains a comprehensive record of the client's medical history and care but is not the primary source for verification when administering blood products.

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Correct Answer is A

Explanation

Choice A reason: Defibrillation is used in the case of life-threatening cardiac rhythms, such as ventricular fibrillation or pulseless ventricular tachycardia. It is not the first line of treatment for a stable patient with VT.

Choice B reason: CPR is initiated when a patient is unresponsive and not breathing or not breathing normally, indicating cardiac arrest. It is not indicated for a patient who is stable and experiencing VT.

Choice C reason: Elective cardioversion is a procedure where an electrical shock is delivered to the heart to convert an abnormal rhythm back to a normal sinus rhythm. It is typically used for rhythms such as atrial fibrillation or atrial flutter, not first line for VT.

Choice D reason: Radiofrequency catheter ablation is a procedure that uses radiofrequency energy to destroy a small area of heart tissue that is causing rapid and irregular heartbeats. In the case of VT, this procedure is used to target the area causing the abnormal rhythm and is a common treatment for recurrent VT.

A. Asthma B. Glaucoma C. Depression D. Migraines

Correct Answer is A

Explanation

Choice A reason: Propranolol is contraindicated in patients with asthma as it may cause bronchoconstriction, exacerbating respiratory difficulties.

Choice B reason: Glaucoma is not a contraindication for propranolol; in fact, betablockers can be used to treat glaucoma by reducing intraocular pressure.

Choice C reason: Depression is not a direct contraindication, but caution is advised as propranolol can sometimes worsen symptoms of depression.

Choice D reason: Propranolol is often used as a preventive treatment for migraines and is not contraindicated in patients with this condition.

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A nurse is preparing to administer a unit of red blood cells. The nurse's responsibility is to compare and verify the information on the blood label with the client's information. Which of the following should the nurse use as the priority source of verification?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). Which of the following actions should the nurse anticipate needing to take?

Correct Answer is A

Explanation

A nurse caring for a client who has hypertension is asked about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Correct Answer is A

Explanation

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