The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health.
Which interventions are appropriate? Select three options that apply.

Ensure comfortable seating at eye level for the client and nurse.

Provide seating for the client so that the client faces a strong light.

Ensure that the distance between the client and nurse is at least 7 ft (2.1 meters).

Place a chair for the client across from the nurse's desk.

Set the room temperature at a comfortable level.

Remove distracting objects from the interviewing area.

Answer and Explanation

Correct Answer : A,E,F

A. Ensure comfortable seating at eye level for the client and nurse: Establishes a non-intimidating environment, helping the client feel more at ease.

B. Provide seating for the client so that the client faces a strong light: Incorrect; this may cause discomfort and make the client feel scrutinized.

C. Ensure that the distance between the client and nurse is at least 7 ft: Too great a distance for effective communication; ideal distance is 3-4 feet.

D. Place a chair for the client across from the nurse's desk: Creates a formal, potentially intimidating setting, discouraging openness.

E. Set the room temperature at a comfortable level: Ensures physical comfort, aiding in client relaxation and openness.

F. Remove distracting objects from the interviewing area: Minimizes potential distractions, keeping the client focused and the environment conducive to communication.

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Correct Answer is A

Explanation

A. Ensuring the blood is compatible with the client's blood type is critical in preventing an acute hemolytic reaction, as incompatible blood transfusions can cause serious, potentially life-threatening reactions.

B. Administering the transfusion rapidly can increase the risk of complications and does not prevent hemolytic reactions; transfusions should be given at a safe rate based on the client's condition.

C. Using a blood warmer is not a standard intervention to prevent hemolytic reactions; it's typically used in specific cases such as massive transfusions or hypothermia, but it does not address compatibility.

D. Administering prophylactic antihistamines is not a recommended practice to prevent hemolytic reactions; it is more relevant for preventing allergic reactions associated with transfusions.

A. Hemoglobin level B. Blood glucose level C. White blood cell count D. Platelet count E. Red blood cell count

Correct Answer is ["A","C","D","E"]

Explanation

A. Hemoglobin level is a key component of the CBC, reflecting the oxygen-carrying capacity of the blood.

B. Blood glucose level is not part of the CBC; it is typically measured separately in metabolic panels or glucose tests.

C. White blood cell count is included in the CBC and is important for assessing the immune response.

D. Platelet count is also part of the CBC and is essential for evaluating clotting function.

E. Red blood cell count is included in the CBC and is crucial for assessing overall blood health and anemia status.

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The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health. Which interventions are appropriate? Select three options that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to transfuse a unit of packed red blood cells for a client with severe anemia. The nurse should identify that which of the following interventions will help prevent an acute hemolytic reaction?

Correct Answer is A

Explanation

Which of the following are components of the complete blood count (CBC)? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

Which nursing interventions are appropriate for a nurse administering a blood transfusion? Select All That Apply

Select the appropriate treatment for the following transfusion reactions

A client with iron deficiency anemia is prescribed ferrous sulfate. Which instruction by the nurse is most appropriate to include in the client's teaching plan?

A nurse is assessing a client who is receiving a unit of packed red blood cells. Which client statement suggests manifestation of an acute hemolytic reaction?

A nurse is caring for a client with Acquired Immunodeficiency Syndrome (AIDS). Which client statement demonstrates a need for further education?

A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. The client's hemoglobin is at 7 g/dL. Which of the following findings should the nurse expect this client to report?

The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health. Which interventions are appropriate? Select three options that apply.

A nurse is providing education to a client with human immunodeficiency virus (HIV) who is experiencing wasting syndrome. Which of these suggestions is most appropriate?

The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health.
Which interventions are appropriate? Select three options that apply.