A nurse is administering Packed Red Blood Cells (PRBC) to a client who reports having lower back pain and feeling chilled and itchy.
Which of the following actions should the nurse take first?

Return the platelet bag and tubing to the blood bank.

Stop the infusion.

Notify the provider.

Collect a urine sample from the client.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Returning the platelet bag and tubing to the blood bank is not the immediate action to take when a client reports having lower back pain and feeling chilled and itchy during a PRBC transfusion. These symptoms could indicate a transfusion reaction, which is a serious complication that requires immediate intervention.

Choice B rationale

Stopping the infusion is the first action the nurse should take when a client reports symptoms of a transfusion reaction. This is because continuing the transfusion could worsen the reaction and potentially lead to more serious complications.

Choice C rationale

While notifying the provider is an important step in managing a transfusion reaction, it is not the first action the nurse should take. The nurse should first stop the infusion to prevent further exposure to the blood product.

Choice D rationale

Collecting a urine sample from the client is not the immediate action to take when a client reports having lower back pain and feeling chilled and itchy during a PRBC transfusion. These symptoms could indicate a transfusion reaction, which requires immediate intervention.

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Correct Answer is C

Explanation

Choice A rationale

Decreased follicle-stimulating hormone is not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

Choice B rationale

Increased levels of prostaglandin are not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

Choice C rationale

Decreased estrogen is the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. During perimenopause, less estrogen may cause the tissues of the vulva and the lining of the vagina to become thinner, drier, and less elastic or flexible.

Choice D rationale

Increased luteinizing hormone is not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

A. Sleep on your left side B. Drink milk to soothe your stomach C. Wait to go to bed for 1 hr after eating D. Eat four- six small meals each day

Correct Answer is D

Explanation

Choice A rationale

Sleeping on the left side does not directly help manage GERD. While it might help with digestion due to the positioning of the stomach, it is not a primary recommendation for GERD management.

Choice B rationale

Drinking milk is not a recommended way to soothe the stomach for a GERD patient. While milk might provide temporary relief from acid reflux, it could potentially stimulate the stomach to produce more acid, which can exacerbate GERD symptoms.

Choice C rationale

Waiting to go to bed for 1 hour after eating can help manage GERD. However, it is generally recommended to wait 2-3 hours after eating before lying down. This allows time for the stomach to empty and reduces the chance of stomach acid backing up into the esophagus.

Choice D rationale

Eating four to six small meals each day is a recommended way to manage GERD. Smaller meals are easier on the stomach, as they require less acid for digestion. This can help reduce the symptoms of GERD12.

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A nurse is administering Packed Red Blood Cells (PRBC) to a client who reports having lower back pain and feeling chilled and itchy.Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a female client about the onset of menopause and the resulting atrophy of the vulvar organs.The nurse should recognize that the major cause for these symptoms is related to which of the following?

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Explanation

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A nurse is administering Packed Red Blood Cells (PRBC) to a client who reports having lower back pain and feeling chilled and itchy.
Which of the following actions should the nurse take first?