Answer to Question 1
B, C
In emergency situations that require rapid transfusions, a large-gauge cannula is preferred; however, transfusions for therapeutic indications may be infused with cannulas ranging from 20 to 24 gauge. Check that the patient has properly completed and signed transfusion consent before retrieving blood. Most agencies require patients to sign consent forms before receiving blood component therapy because of the inherent risks. Obtain and record pretransfusion vital signs, including temperature, immediately before initiation of the transfusion. If the patient is febrile (temperature greater than 100 F 37.8 C), notify the physician or the health care provider before initiating the transfusion. Change from baseline vital signs during infusion will alert the nurse to a potential transfusion reaction or adverse effect of therapy.
Answer to Question 2
B
B. Have a large calendar posted in a conspicuous area to write in appointments or special planned events.
A. Telling the client not to worry negates the client's feelings.
C. This response is false reassurance and not helpful to the client.
D. This response negates the client's feelings and fears.
Sharing patient information with colleagues is an important nursing role
Percussion for Ascites: Shifting Dullness, Patient on Left Side
Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
Patient teaching: rectal and anal assessment
Areas of sclerosis (see arrows) in the white matter of a patient with MS.
Risk assessment codes for an HIV-infected patient.