A nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?

Hemolysis

Urticaria

Fever

Fluid overload

Answer and Explanation

The Correct Answer is B

A. Hemolysis: This is a severe reaction to blood transfusion involving the destruction of red blood cells and requires different management strategies.

B. Urticaria: Diphenhydramine is used to prevent or treat urticaria (hives), which is a mild allergic reaction and can be managed with antihistamines.

C. Fever: This is typically managed with antipyretics or by addressing the underlying cause rather than antihistamines.

D. Fluid overload: This condition requires management with diuretics and careful monitoring of fluid intake rather than antihistamines.

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Correct Answer is A

Explanation

A. Surgeon: The surgeon is responsible for obtaining informed consent from the client. This includes providing the client with all necessary information about the procedure, including its risks, benefits, and alternatives, to ensure that the client can make an informed decision.

B. Surgical suite nurse: While the surgical suite nurse may assist with explaining aspects of the procedure and verifying consent, the primary responsibility for obtaining informed consent lies with the surgeon.

C. Nurse: Although the nurse plays a role in patient education and ensuring the client understands the procedure, the formal process of obtaining informed consent is the responsibility of the surgeon.

D. Anesthesiologist: The anesthesiologist provides information about anesthesia risks and effects but does not obtain consent for the surgical procedure itself.

A. Prone position B. Sim's position C. Lying on the right side D. Supine

Correct Answer is B

Explanation

A. Prone position: This position is not suitable for administering a rectal suppository, as it does not allow for adequate access to the rectum.

B. Sim's position: This is the correct position for administering a rectal suppository. The client is placed on their left side with the right knee flexed, which facilitates access to the rectum and allows for easier insertion of the suppository.

C. Lying on the right side: This position is less effective than Sim's position for rectal suppository insertion. Sim's position (left side) is preferred to provide better access to the rectum.

D. Supine: This position is inappropriate for rectal suppository insertion because it does not adequately expose the rectal area for insertion

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A nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?

Correct Answer is A

Explanation

A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for Insertion of the suppository?

Correct Answer is B

Explanation

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