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 D

Explanation

Choice A reason: Preventing skin maceration is not the primary purpose of the reverse Trendelenburg position. Skin maceration typically occurs due to excessive moisture on the skin, and the bed position does not directly address this issue.

Choice B reason: Reducing restenosis, which is the re-narrowing of a blood vessel after it has been treated, is not directly affected by the patient's bed position. Restenosis is more related to the procedure performed and the patient's overall condition rather than positioning.

Choice C reason: Reducing the risk of infection is also not a direct benefit of the reverse Trendelenburg position. Infection prevention involves maintaining sterile techniques, proper wound care, and monitoring for signs of infection.

Choice D reason: Increasing perfusion to the legs is the correct rationale for placing the bed in the reverse Trendelenburg position for a patient with critical limb ischemia. This position helps to improve blood flow to the lower extremities by utilizing gravity to aid in circulation, thus enhancing oxygen and nutrient delivery to the affected tissues.

A. Clean the stoma two times a week. B. Use a bedside humidifier. C. Offer plenty of fluids to the patient. D. Keep the stoma uncovered when the patient showers.

Correct Answer is ["B"]

Explanation

Choice A reason: Cleaning the stoma two times a week is not sufficient. Stoma care typically requires daily cleaning to prevent infection and ensure the area remains free from mucus buildup and irritation.

Choice B reason: Using a bedside humidifier is important for patients with a tracheostomy. The humidified air helps to keep the stoma and airway moist, preventing drying and crusting of secretions, which can obstruct the airway.

Choice C reason: Offering plenty of fluids to the patient helps to keep the mucus thin and easier to clear, which is crucial for maintaining a clear airway in patients with a tracheostomy.

Choice D reason: Keeping the stoma uncovered when the patient showers is incorrect. The stoma should be covered with a waterproof shield or dressing to prevent water from entering the airway, which can cause respiratory distress or infection.

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Naxlex Comprehensive Predictor Exams

Which rationale supports placing the bed in the reverse Trendelenburg position for a patient with critical limb ischemia?

Correct Answer is D

Explanation

Which action would the nurse take while providing home care to a patient with a stoma after a tracheostomy? Select all that apply. One, some, or all responses may be correct.

Correct Answer is ["B"]

Explanation

A patient is being discharged home for treatment of hypothyroidism. Which medication is most commonly prescribed for this condition?

A patient arrives in the emergency department with a swollen ankle after a soccer injury. Which action by the nurse is appropriate?

A patient from a long-term care facility is admitted to the hospital with a sacral pressure injury. The base of the wound involves subcutaneous tissue. How should the nurse classify this pressure injury?

After reviewing the laboratory reports of a patient who was admitted with sudden severe abdominal pain, the nurse identifies that which condition is consistent with the test results?

When a patient with asthma who is on a budesonide hand-held inhaler reports difficulty, what should the nurse do?

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?

Physical signs of unrelieved pain include which of the following? Select all that apply.