The nurse is performing the safety checks prior to initiating a packed red blood cell transfusion for a patient whose blood type is A positive. The nurse observes the unit is AB negative. What is the nurse's best first action?

Call the blood bark

Initiate the transfusion

Take and record the patients vital signs

Notify the physician

Answer and Explanation

The Correct Answer is A

A. The first action should be to call the blood bank to report the mismatch in blood type. The patient is A positive, and the blood unit is AB negative, which is not compatible and could lead to a serious transfusion reaction. The blood bank can provide the correct unit of blood.
B. Initiating the transfusion with the wrong blood type is dangerous and could cause a life-threatening reaction.
C. Taking and recording vital signs is important but should only occur after confirming the correct blood product. Starting a transfusion with the wrong blood is a safety hazard.
D. While notifying the physician is important, the immediate action is to contact the blood bank to resolve the blood type mismatch.

Nursing Test Bank

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Correct Answer is C

Explanation

A. While it is helpful for individuals to track and monitor skin lesions, keeping a detailed body map may not be a common or necessary recommendation for everyone. Self-monitoring is important, but the focus should be on regular skin checks rather than detailed mapping.
B. The recommended frequency for self-skin exams is monthly, not every 2 months. Regular monthly self-exams are essential for early detection of skin cancer.
C. Tanning beds expose the skin to ultraviolet (UV) radiation, which increases the risk of developing skin cancer, especially melanoma. Limiting or avoiding tanning bed use is a key prevention strategy for skin cancer.
D. The sun's UV rays can be strong throughout the day, not just before or after 3pm. The most important guideline for sun safety is to avoid excessive sun exposure, particularly between 10am and 4pm, when UV rays are strongest. Simply avoiding the sun after 3pm is not a sufficient recommendation.

A. Soft-boiled eggs are an appropriate source of protein. B. Bottled water is an appropriate choice to increase fluid intake C. The salad bar is a healthy choice when dining out. D. Eating at a buffet a good choice to increase caloric intake

Correct Answer is B

Explanation

A. Soft-boiled eggs may pose a risk to individuals with neutropenia due to the potential for bacterial contamination (e.g., from undercooked eggs), which could lead to infection. It's generally safer to consume fully cooked eggs.
B. Bottled water is considered a safe choice for individuals with neutropenia because it is typically filtered and sealed, reducing the risk of bacterial contamination from tap water. Ensuring safe water intake is crucial for preventing infections in individuals with weakened immune systems.
C. Salad bars can be risky for individuals with neutropenia due to the potential for contaminated raw vegetables or improper food handling, which can lead to foodborne illnesses. Raw or unwashed vegetables may harbor harmful bacteria.
D. Buffets can be risky for individuals with neutropenia because the food may be left out at unsafe temperatures for extended periods, increasing the risk of contamination. Individuals with neutropenia should avoid foods from buffet-style setups.

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The nurse is performing the safety checks prior to initiating a packed red blood cell transfusion for a patient whose blood type is A positive. The nurse observes the unit is AB negative. What is the nurse's best first action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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