The nurse would ask which health care team member to assist when checking a unit of packed red blood cells before administration?
a) The nursing assistant
b) The physician's assistant
c) The unit secretary
d) Another registered nurse (RN)

The correct answer is: d) Another registered nurse (RN).

Choice A reason: A nursing assistant is not typically qualified to verify and administer blood products. Their role primarily involves providing basic patient care under the supervision of licensed nurses.
Choice B reason: A physician's assistant (P

The nursing assistant

The physician's assistant

The unit secretary

Another registered nurse (RN)

Answer and Explanation

The Correct Answer is D

Choice A reason: A nursing assistant is not typically qualified to verify and administer blood products. Their role primarily involves providing basic patient care under the supervision of licensed nurses.

Choice B reason: A physician's assistant (PA) is a licensed medical professional who can perform many tasks, but verifying and administering blood products is generally within the nursing scope of practice. The PA may assist but is not the primary person for this task.

Choice C reason: The unit secretary handles administrative tasks and coordination but is not involved in clinical tasks such as verifying and administering blood products.

Choice D reason: Another registered nurse (RN) is the appropriate team member to assist in checking a unit of packed red blood cells before administration. RNs are trained and qualified to perform this task, ensuring that the right blood type and unit are administered to the patient safely.

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Correct Answer is C

Explanation

Choice A reason: While blood glucose monitoring is essential for patients receiving TPN, it is not specifically necessary to obtain samples from a central line. Blood glucose levels can be monitored through peripheral blood samples.

Choice B reason: There is actually an increased risk of infection with central lines compared to peripheral lines due to the invasive nature of central line placement and its location. Proper aseptic technique is critical to minimize this risk.

Choice C reason: The hypertonic solution will be more rapidly diluted when given through a central line. This is a critical point because the central veins have a higher blood flow and larger volume, which helps to quickly dilute the hypertonic TPN solution. This reduces the risk of phlebitis and damage to the smaller peripheral veins, making central lines more suitable for infusing highly concentrated solutions like 25% dextrose.

Choice D reason: While a central line can allow for the rapid administration of infusions, this is not the primary reason for its use with TPN. The key factor is the dilution of the hypertonic solution, as central lines handle high osmolarity solutions better than peripheral veins.

A. Contact the health care provider B. Recheck the pulse in another 30 minutes C. Measure the ankle-brachial index D. Administer an oral anticoagulant

Correct Answer is A

Explanation

Choice A reason: Contacting the health care provider is the most appropriate action because a change in the Doppler sound may indicate a potential complication, such as graft occlusion or compromised blood flow. Immediate assessment and intervention by the health care provider are essential to prevent further complications and ensure the patient's safety.

Choice B reason: Rechecking the pulse in another 30 minutes is not advisable in this situation because it could delay necessary medical intervention. Prompt communication with the health care provider is crucial to address the underlying issue and provide timely care.

Choice C reason: Measuring the ankle-brachial index can provide valuable information about blood flow in the lower extremities, but it is not the immediate priority when a significant change in the Doppler sound is detected. Contacting the health care provider for further assessment and instructions takes precedence.

Choice D reason: Administering an oral anticoagulant is not an appropriate action without the direct instruction from a health care provider. The nurse must first report the change in the Doppler sound to the provider and follow their specific orders regarding medication and treatment.

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Naxlex Comprehensive Predictor Exams

A student asks the nurse why a peripherally inserted central catheter is needed for a patient receiving Total Parenteral Nutrition (TPN) with 25% dextrose. Which response by the nurse is accurate?

Correct Answer is C

Explanation

The nurse provides postoperative care to a patient who underwent peripheral artery bypass surgery. Thirty minutes after the initial assessment, the nurse reassesses the patient and detects a change in the Doppler sound over a pulse. Which action should the nurse take?

Correct Answer is A

Explanation

In any clinical setting, which health care team member is responsible for developing an individualized plan of care that includes nursing diagnoses, interventions, and outcomes including the patient's self-management care plan?

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Which disorder would the nurse recognize as the likely cause of right heart failure (cor pulmonale)?

When suctioning a patient, the development of which three clinical manifestations indicates that the nurse would discontinue suctioning immediately?

The arterial blood gas (ABG) report of a patient with a spinal cord injury indicates hypoxia. Select two interventions the nurse would perform to improve the patient's respiratory status.

A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How should the nurse interpret the following arterial blood gas results: pH 7.48, PaO₂ 85 mm Hg, PaCO₂ 32 mm Hg, and HCO₃ 25 mEq/L?

Choose appropriate interventions to stabilize the patient with acute anemia. Select all that apply.