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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Endotracheal intubation might be necessary in severe cases of respiratory depression, but it is not the first step in addressing opioid overdose.
B. Protamine sulfate is the antidote for heparin, not morphine.
C. Naloxone (Narcan) is an opioid antagonist that can rapidly reverse the effects of opioid overdose, including respiratory depression.
D. Administration of oxygen is supportive care but does not address the root cause of opioid overdose.

A. Pressure ulcers B. Polyuria C. Diarrhea D. Contractures of the extremities E. Crackles in the lungs

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

Explanation

A. Immobility can lead to pressure ulcers due to prolonged pressure on bony prominences.
B. Polyuria is not a common complication of immobility.
C. Diarrhea is not typically associated with immobility; constipation is more common.
D. Immobility can cause contractures of the extremities due to muscle shortening and tightening.
E. Crackles in the lungs can occur due to fluid accumulation and reduced lung expansion associated with immobility.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse accidentally administers 15 mg of morphine IM to a client who had been given another dose of morphine 15 mg IM about 30 minutes earlier. What action should the nurse be prepared to take?

Correct Answer is C

Explanation

A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select all that apply.)

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

Explanation

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