The nurse is collecting equipment to administer a unit of packed red blood cells. Which IV ﬂuid should be used to initiate the IV for this transfusion?

100 mL of 5% dextrose and 1/2 normal saline

1,000 mL of lactated Ringer's solution

500 mL of 5% dextrose and water

250 mL of normal saline

Answer and Explanation

The Correct Answer is D

When collecting equipment to administer a unit of packed red blood cells, the nurse should use 250 mL of normal saline to initiate the IV for this transfusion ³. Normal saline is the only compatible solution to use with blood or blood components ³. The other options (100 mL of 5% dextrose and 1/2 normal saline, 1,000 mL of lactated Ringer's solution, and 500 mL of 5% dextrose and water) are not appropriate IV ﬂuids to use when administering a unit of packed red blood cells.

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Correct Answer is A

Explanation

A clear liquid diet consists of foods and ﬂuids that are clear and liquid at room temperature. This includes items such as Jell-O, carbonated beverages, and apple juice. These foods and ﬂuids are easily digested and leave no residue in the intestinal tract, making them appropriate for certain medical conditions or procedures.

A. Not talkative B. Pale and diaphoretic C. "Leave me alone" D. Restlessness E. Encourage or provide oral hygiene after mealtime.

Correct Answer is C

Explanation

Subjective data refers to information that is reported by the client and cannot be directly observed or measured by the healthcare provider. In this case, the statement "leave me alone" is an example of subjective data that the nurse should document. This information provides insight into the client's feelings and emotions and can help guide the nurse's care and interventions.

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The nurse is collecting equipment to administer a unit of packed red blood cells. Which IV ﬂuid should be used to initiate the IV for this transfusion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been prescribed a clear liquid diet. What food or ﬂuids will be served?

Correct Answer is A

Explanation

During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in the bed and says "leave me alone." Which subjective data should the nurse document?

Correct Answer is C

Explanation

The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?

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Which of the following statements is true regarding types of health care agencies?

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