A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

This is the first and most crucial step before administering any blood product. Ensuring compatibility between the packed red blood cells (PRBCs) and the client's blood type is vital to prevent a transfusion reaction. The nurse should carefully check the blood product against the client's

While it is important to have an appropriate-sized IV catheter for blood transfusions, checking the compatibility of the blood product with the client's blood type is the primary concern before initiating the transfusion. The IV catheter size becomes relevant after confirming compatibility.

Confirming the identity of the client with the blood bank technician is important, but it is not the first step before the start of the infusion. The immediate priority is to check the compatibility of the blood product with the client's blood type. Confirming the client's identity becomes crucial during the administration process.

Priming the tubing with lactated Ringer's is not the first step. The initial focus should be on verifying the compatibility of the blood product with the client's blood type. After ensuring compatibility, the nurse can then prime the tubing with the appropriate blood product.

C. Providing the client with a night light helps improve visibility during nighttime ambulation, reducing the risk of falls. Many falls in healthcare settings occur during nighttime when visibility is reduced.
A. Keeping the client's room temperature at 18°C (64.4°F) is not directly related to fall prevention. While maintaining a comfortable room temperature is important for the client's overall comfort, it does not specifically address fall risk.

B. Placing the bedside table 0.9 m (3 feet) away from the bed is not directly related to fall prevention. While organizing the client's environment to ensure accessibility and safety is important, the distance of the bedside table from the bed is less critical compared to other fall prevention measures.
D. Elevating full-length side rails on both sides of the client's bed is not recommended as a fall prevention measure. The use of side rails can increase the risk of falls and should be used judiciously, if at all, based on the client's individual risk assessment. Full-length side rails can create entrapment hazards and may not effectively prevent falls.