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The nurse is administering a transfusion of packed RBC to a client. Which interventions should the nurse implement? List in order of performance.
1. Start the transfusion slowly
2. Verify the client has signed consent
3. Assess the IV site for size and patency
4. Check the blood with another nurse at the bedside
5. Obtain the blood from the laboratory
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Terms in this set (5)
The nurse is administering a transfusion of packed RBC to a client. Which interventions should the nurse implement? List in order of performance.
1. Start the transfusion slowly
2. Verify the client has signed consent
3. Assess the IV site for size and patency
4. Check the blood with another nurse at the bedside
5. Obtain the blood from the laboratory
The client in the medical unit begins to experience a severe anaphylactic reaction after an
initial dose of IV penicillin, an antibiotic. Which intervention would likely be implemented?
as an immediate response to this development?
A) Prepare to administer Solu-Medrol, a glucocorticoid, IV
B) Request and obtain a routine chest x-ray
C) Initiate the Rapid Response Team
D) Administer Epinephrine, an adrenergic blocker, SQ then IV continuous
Which of the following clients is most at risk for developing a deep-vein thrombosis?
A) A 30-year-old client who is 1 week postpartum
B) A 63-year-old client post-CVA on anticoagulant therapy
C) A 40-year-old client who smokes and uses oral contraceptives
D) A 41-year-old client who underwent laparoscopic cholecystectomy
The nurse's forearm is splattered with blood while inserting an intravenous catheter. What action should the nurse take?
A) Wipe the blood away with an alcohol swab
B) Wipe the blood away with a tissue
C) Flush the forearm with hot water, letting water flow from the elbow toward the fingers
D) Wash the forearm with soap and water