A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse plan to take?
Check the unit of blood with an assistant personal (AP).
Plan to infuse the unit of blood over 6 hr.
Remain with the client for the first 15 minutes of the transfusion.
Pre-medicate the client with an antiemetic.
The Correct Answer is C
A. The blood must be checked by two licensed professionals, not an assistant personal (AP).
B. Blood should be infused within 4 hours to reduce the risk of bacterial contamination.
C. The nurse should remain with the client for the first 15 minutes of the transfusion to monitor for any immediate adverse reactions.
D. Pre-medicating with an antiemetic is not a standard practice unless specifically indicated by the client's history or condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Rinsing the mouth after administration of an inhaled corticosteroid helps prevent oral thrush, a common side effect of these medications.
B. Limiting caffeine intake is not specifically necessary for the use of inhaled corticosteroids.
C. Taking the medication with meals is not required for inhaled corticosteroids.
D. Checking the pulse after administration is not necessary for inhaled corticosteroids.
Correct Answer is C
Explanation
A. Stiffness in the lower extremities can occur but is not a primary complication of immobility.
B. Difficulty moving the upper extremities is a result of the stroke, not immobility.
C. A reddened area over the sacrum indicates a pressure ulcer, a common complication of immobility.
D. Difficulty hearing some types of sounds is unrelated to immobility.
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