The patient who is receiving a blood transfusion tells the nurse ...

[xroflmao]

The patient who is receiving a blood transfusion tells the nurse his chest feels tight. The nurse observes that he is short of breath and his temperature is elevated. What initial action should the nurse take?
 
  a. Report the findings to the physician.
  b. Check the patient again in 15 minutes.
  c. Stop the transfusion.
  d. Increase the flow rate of the transfusion.

Question 2

The nurse is planning an in-service about urinary infections for a group of new graduate nurses. Which of the following should be included in the presentation?
 
  1. Men require a longer course of antibiotic therapy to manage a urinary tract infection than women.
   2. Men are most likely to experience descending urinary tract infections.
   3. Straight catheterization is the only means to obtain a urine specimen to evaluate for the presence of a urinary tract infection.
   4. The rate of urinary tract infections is similar between men and women.

[hramirez205]

Answer to Question 1

C
At the first sign of a reaction, stop the blood transfusion immediately.

Answer to Question 2

1. Men require a longer course of antibiotic therapy to manage a urinary tract infection than women.

Rationale:
Men will usually be prescribed a longer course of therapy to manage a urinary tract infection. They have a longer urethra. When they are infected with an infection to the system, it is typically more complicated than in a woman. Descending infections are less common than ascending infections of the urinary tract. A clean catch midstream is a reliable means to obtain a urine specimen to check for the presence of infection. Women have a higher rate of urinary tract infection than men.