A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. Which of the following actions is nurse's priority?

Stopping the transfusion

Covering the client with a blanket

Assessing the client's skin for a rash

Notifying the provider

Answer and Explanation

The Correct Answer is A

A.   Stopping the transfusion is the priority action if the client is experiencing symptoms of a transfusion reaction.
B.   Covering the client with a blanket may address chills but does not address the potential serious nature of the reaction.
C.   Assessing the client's skin for a rash is important but should not delay the immediate action of stopping the transfusion.
D.   Notifying the provider is important, but stopping the transfusion and addressing the immediate needs of the client take precedence.

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Correct Answer is ["125"]

Explanation

This is a question that tests the nurse's ability to calculate the infusion rate of an IV solution. To answer this question, the nurse needs to use the following formula: Infusion rate (mL/hr) = (Volume of solution (mL) x Dose ordered (mEq/hr)) / Dose available (mEq)

Plugging in the given values, we get:

Infusion rate (mL/hr) = (500 mL x 10 mEq/hr) / 40 mEq Simplifying, we get:

Infusion rate (mL/hr) = 125 mL/hr

Therefore, the nurse should set the IV pump to deliver 125 mL/hr.

A. Lethargy B. Numbness of fingers C. Dry skin D. Abdominal pain

Correct Answer is A

Explanation

A. Lethargy is a common manifestation of respiratory acidosis due to the buildup of carbon dioxide leading to respiratory depression.
B. Numbness of fingers is more associated with respiratory alkalosis.
C. Dry skin is not a direct manifestation of respiratory acidosis.
D. Abdominal pain is not typically associated with respiratory acidosis.

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A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. Which of the following actions is nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium chloride (NaCl) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["125"]

Explanation

A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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