128. A nurse is caring for a client who has a tracheostomy and requires suctioning. Identify the sequence of steps the nurse should follow after applying sterile gloves. (Move the steps into the box on the right. placing them in the selected order of performance, use all the steps.) (ORDERED RESPONSE)

A. Contraction intensity increased by ambulation: True labor contractions typically become stronger and more regular with ambulation, unlike false labor, which does not intensify with movement.
B. Slow change in dilation and effacement: Even slow cervical changes suggest true labor is occurring. In false labor, the cervix usually remains unchanged despite contractions.
C. Presence of bloody show: A bloody show indicates cervical changes and is commonly associated with the onset of true labor, not false labor.
D. Intermittent painless contractions: These are characteristic of false labor, often referred to as Braxton Hicks contractions, and do not result in cervical dilation or effacement.

A. Prime the tubing with 0.9% sodium chloride: Normal saline is the only compatible solution used to prime blood transfusion tubing. It prevents clotting or hemolysis and ensures that blood components are not damaged during administration.
B. Attach a single-line administration set: A Y-type or dual-line administration set with a filter is required for safe transfusion. Single-line sets do not allow simultaneous saline flushing, which is necessary during transfusion to prevent clotting and maintain patency.
C. Use an IV catheter that is at least 24 gauge: While a 24-gauge catheter can be used in pediatric clients, adults require at least an 18–20 gauge catheter to prevent hemolysis and ensure rapid infusion of blood products when needed.
D. Use tubing that does not have a filter in the drip chamber: Blood administration sets must include a filter to trap clots and debris. Using tubing without a filter increases the risk of transfusion-related complications such as embolism or febrile reactions.