A nurse is selecting a qualified staff member to double check a blood label with a client ID bracelet prior to infusing a unit of blood. The nurse should identify which of the following persons is qualified?

Phlebotomist

Assistive personnel

Senior nursing student

Oncology nurse

Answer and Explanation

The Correct Answer is D

A. Phlebotomist - Phlebotomists are trained in drawing blood and handling specimens but are not typically trained to verify blood products for transfusion.

B. Assistive personnel - Assistive personnel (e.g., nursing assistants) do not have the required training or authority to verify blood products for transfusion.

C. Senior nursing student - Although a senior nursing student may have some clinical experience, they do not have the qualifications or the responsibility required for this critical safety task.

D. Oncology nurse - An oncology nurse is a registered nurse with specialized training and experience in administering blood products and managing the associated risks, making them qualified to double-check blood labels and patient identification.

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Correct Answer is D

Explanation

A. Lie on your back when sleeping - While specific sleeping positions might be recommended, lying on the back is not necessarily required unless specified by the surgeon.

B. Wash your hair 24 hr after surgery - Hair washing is usually advised against within the first 24-48 hours post-surgery to prevent infection and avoid disturbing the surgical site.

C. Resume your exercise routine - Exercise is typically restricted initially to prevent strain or injury to the surgical area.

D. Eat foods that are soft - Soft foods are recommended to avoid strain on the surgical site, reduce the risk of dislodging any packing or stitches, and promote comfort during the initial healing period.

A. Sleep on the abdomen to facilitate wound healing. B. Bend at the waist to pick objects up from the floor. C. Notify the surgeon if white drainage develops on the eyelids. D. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week.

Correct Answer is D

Explanation

A. Sleep on the abdomen to facilitate wound healing: Clients are usually advised to avoid sleeping on the side of the operated eye or on the abdomen to prevent pressure on the eye.

B. Bend at the waist to pick objects up from the floor: Bending at the waist can increase intraocular pressure, which is not advisable post-surgery.

C. Notify the surgeon if white drainage develops on the eyelids: White drainage may be a sign of normal healing or minor irritation; however, yellow or green discharge would be more concerning for infection.

D. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. Lifting heavy objects can increase intraocular pressure and potentially disrupt the healing process after cataract surgery. The client should avoid such activities to promote proper healing.

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A nurse is selecting a qualified staff member to double check a blood label with a client ID bracelet prior to infusing a unit of blood. The nurse should identify which of the following persons is qualified?

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