A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type AB blood. Which of the following actions should the nurse take?
Contact the provider for further orders.
Notify the blood bank of the discrepancy.
Administer the blood as ordered.
Complete an incident report.
The Correct Answer is C
Choice A: Contacting the provider for further orders is not necessary, because the client has type AB blood, which is compatible with any other blood type. The client can receive type B blood without any adverse reactions.
Choice B: Notifying the blood bank of the discrepancy is not required, because there is no discrepancy. The blood bank sent the correct type of blood for the client, according to their blood type.
Choice C: Administering the blood as ordered is the correct action, because type B blood is compatible with type AB blood. The client will not have any transfusion reactions or complications from receiving this type of blood.
Choice D: Completing an incident report is not appropriate, because there is no incident. The nurse did not make any error or mistake in administering the blood to the client. There is no need to document or report anything unusual.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
To estimate the percentage of body surface area burned using the Rule of Nines, follow these guidelines:
- Head and Neck: 9%
- Each Arm: 9% (right arm) + 9% (left arm) = 18%
- Front of Torso: 18%
- Back of Torso: 18%
- Each Leg: 18% (right leg) + 18% (left leg) = 36%
- Genital Area: 1%
Now, add up the percentages of the burned areas:
9% (head and neck) + 18% (each arm) + 18% (front of torso) + 18% (back of torso) + 36% (each leg) + 1% (genital area) = 100%
So, the nurse should estimate that the client has burned 100% of their body surface area.
Correct Answer is B
Explanation
Choice A Reason: This choice is incorrect because furosemide is a diuretic that helps to reduce fluid retention and edema. It may be used for clients who have heart failure or hypertension, but it does not treat pulmonary embolism.
Choice B Reason: This choice is correct because heparin is an anticoagulant that helps to prevent blood clots from forming or growing larger. It may be used for clients who have pulmonary embolism, which is a blockage of a pulmonary artery by a blood clot that usually originates from a deep vein thrombosis (DVT). Heparin can reduce the risk of complications such as pulmonary infarction or death.
Choice C Reason: This choice is incorrect because dexamethasone is a corticosteroid that helps to reduce inflammation and immune response. It may be used for clients who have allergic reactions, asthma, or autoimmune diseases, but it does not treat pulmonary embolism.
Choice D Reason: This choice is incorrect because epinephrine is a sympathomimetic that helps to stimulate the heart and blood vessels. It may be used for clients who have cardiac arrest, anaphylaxis, or severe asthma, but it does not treat pulmonary embolism.
Choice E Reason: This choice is incorrect because atropine is an anticholinergic that helps to block the effects of acetylcholine on the heart and smooth muscles. It may be used for clients who have bradycardia, atrioventricular block, or organophosphate poisoning, but it does not treat pulmonary embolism.
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