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 D

Explanation

A. "HIPAA is a federal law, not a state law": This statement is correct. HIPAA is indeed a federal law that sets standards for the protection of health information.

B. "A client's address would be an example of personally identifiable information": This statement is correct. A client's address is considered personally identifiable information under HIPAA.

C. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form": This statement is correct. HIPAA regulates the privacy and security of health information in all forms.

D. "Information about a client can be disclosed to family members at any time": This statement indicates a need for further teaching. HIPAA restricts the disclosure of client information and requires consent or authorization before disclosing information to family members, unless there is a specific exception such as in emergency situations or where the client has consented.

A. Losartan 50.0 mg, PO, QD B. Desmopressin .1 mL, intranasal, qd C. Metformin 500 mg, 1 tablet, PO, daily D. Zolpidem, 5 mg PO, HS

Correct Answer is C

Explanation

A. Losartan 50.0 mg, PO, QD: The use of decimal points with trailing zeros (50.0 mg) is discouraged to avoid potential errors. It should be written as 50 mg.

B. Desmopressin .1 mL, intranasal, qd: The abbreviation "qd" (quaque die) is not recommended due to potential misinterpretation. It should be written as "daily."

C. Metformin 500 mg, 1 tablet, PO, daily: This prescription is clear and correctly formatted, including the dosage, route, and frequency without ambiguous abbreviations.

D. Zolpidem, 5 mg PO, HS: The abbreviation "HS" (at bedtime) is acceptable, but clarity and standardization are preferred, and this option is less specific compared to C.

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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 reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

Correct Answer is D

Explanation

A nurse is teaching a newly licensed nurse about transcribing prescriptions. Which of the following examples should the nurse include in the instructions?

Correct Answer is C

Explanation

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