The nurse is preparing to administer a unit of packed red blood cells (PRBC's) to a patient whose blood type is A- (negative). The nurse knows that this patient can receive transfusions from which blood types? (SELECT ALL THAT APPLY).

A) Description of injury, vital signs during surgery, and current vital signs:
This information is crucial for the ICU nurse to understand the nature of the injury, how the patient responded during surgery, and their current hemodynamic status. Vital signs during surgery provide insight into the patient's cardiovascular stability and response to anesthesia, blood loss, and interventions. Current vital signs are important to monitor for any postoperative complications.

B) Description of operative procedure and patient tolerance:
The ICU nurse needs to know the details of the surgery performed, such as the type of trauma repair and any complications that may have occurred during the procedure. Understanding how the patient tolerated the surgery (e.g., any complications such as hypotension or arrhythmias) is important for planning post-operative care and anticipating potential issues in the ICU.

C) Total intake and output (IV fluids, blood products, urine/chest tube output, blood loss):
Tracking fluid balance is critical in trauma patients, especially those who have suffered significant blood loss. IV fluids, blood products, and other inputs (such as urine and chest tube output) provide vital information on the patient's circulatory status and renal function. Blood loss is also important to monitor, as it may need to be replaced, and fluid status affects the patient's recovery.

D) Presence of the patient's spiritual advisor and family:
Although family presence can be an important part of patient care, especially in a trauma situation, it is not essential information for the ICU nurse to receive during a report. While the ICU nurse may ask for family updates and visitor information, the focus of the report should be on the patient's clinical status and post-operative needs.

E) Medications administered during surgery and IV access sites:
The ICU nurse must know the medications administered during surgery, especially anesthesia agents, antibiotics, and analgesics, to understand their effects and anticipate any needed follow-up care, such as pain management or monitoring for adverse reactions. Knowing the IV access sites (e.g., central line, peripheral IV) is important for administering medications, fluids, and for monitoring potential complications related to vascular access.

A) Begins training to prepare to run a marathon next year:
This response is not characteristic of the stage of anger. Instead, this behavior suggests denial or possibly bargaining, as the client may be attempting to maintain a sense of normalcy or even hope in the face of a terminal illness like Amyotrophic Lateral Sclerosis (ALS).

B) Refuses to attend church and states that "his faith has failed him":
This statement reflects the anger stage of Kubler-Ross’s five stages of grief. During the anger stage, individuals often experience intense feelings of frustration, helplessness, and resentment about their situation. They may direct these emotions towards others, including higher powers or themselves. In this case, the client is expressing anger by blaming his circumstances and feeling abandoned by his faith, a common reaction when facing an irreversible condition like ALS.

C) Promises God to give up smoking if allowed to live until their children are married:
This behavior represents the bargaining stage of grief, not anger. In the bargaining phase, individuals may attempt to negotiate with a higher power or themselves, making promises or deals in exchange for a prolongation of life or a desired outcome. The client is trying to strike a "deal" by making promises for future behavior in exchange for a specific wish, reflecting bargaining rather than anger.

D) Gathers the family together in order to discuss what their last wishes are:
This scenario aligns more with the acceptance stage of grief. In the acceptance stage, individuals come to terms with their diagnosis and begin to make plans for the end of their life. The act of discussing last wishes indicates that the client is accepting the reality of their condition and preparing for what is to come.