This topic contains a solution. Click here to go to the answer

Author Question: After an assessment of a client, a nurse determines that the extremities are cool and pale. An ... (Read 66 times)

fagboi

  • Hero Member
  • *****
  • Posts: 535
After an assessment of a client, a nurse determines that the extremities are cool and pale. An appropriate nursing diagnosis is:
 
  A. Impaired skin integrity
  B. Altered tissue perfusion
  C. Fluid volume deficit
  D. Altered nutritional state

Question 2

The patient is to receive 1 unit of packed RBCs. The nurse obtains the blood from the blood bank and returns to the unit to find that the patient has been taken to radiology for a CT scan and is expected to return in about an hour.
 
  What should the nurse do? a. Go to radiology and administer the blood.
  b. Keep the blood refrigerated until the patient returns.
  c. Return the blood to the blood bank.
  d. Hang the blood in the patient's room and start it when the patient returns.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ttt030911

  • Sr. Member
  • ****
  • Posts: 315
Answer to Question 1

B
B. Altered tissue perfusion would be associated with decreased circulation leading to cool and pale skin with capillary refill >2.5 seconds.
A. Impaired skin integrity would be associated with a breakdown in the skin surface.
C. Fluid volume deficit would be demonstrated with dry skin with tenting.
D. Altered nutritional state can refer to both more than body requirements or less than body requirements.

Answer to Question 2

C
Initiate the blood transfusion within 30 minutes of the time of release from the blood bank. If you cannot do this because the patient is in the bathroom or the physician has to be notified of an elevated temperature, immediately return the blood to the blood bank, and retrieve it when you can administer it.




fagboi

  • Member
  • Posts: 535
Reply 2 on: Jul 24, 2018
YES! Correct, THANKS for helping me on my review


nanny

  • Member
  • Posts: 313
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

Did you know?

The familiar sounds of your heart are made by the heart's valves as they open and close.

Did you know?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Did you know?

Green tea is able to stop the scent of garlic or onion from causing bad breath.

For a complete list of videos, visit our video library