The nurse is teaching a client about a planned blood transfusion ...

[shenderson6]

The nurse is teaching a client about a planned blood transfusion and assures the client that close monitoring is planned. What should the nurse instruct the client to report during this transfusion?
 
  1. The need to void
  2. Onset of stomach cramps
  3. Joint pain
  4. Chills

Question 2

The nurse is evaluating the client's response to treatment for hypovolemic shock. The nurse would conclude that a goal has been met when:
 
  1. Respirations are slow and shallow.
  2. Capillary refill is prolonged.
  3. Peristalsis is restored.
  4. Client is restless.

[kaillie]

Answer to Question 1

Answer: 4

1. It would be considered a good sign if the client needed to void, as that would indicate there was blood flow to the kidneys.
2. The bowels moving indicate that there is blood flow to the gastrointestinal tract, and is a good sign.
3. Joint pain would be unrelated to a blood transfusion.
4. Chills indicate that the client might be experiencing an allergic reaction to the transfusion, and the client should be instructed to notify the nurse immediately.

Answer to Question 2

Answer: 3

1. Slow and shallow respirations indicate that shock is progressing.
2. When capillary refill is prolonged, the skin is not getting adequate blood supply.
3. The return of bowel sounds indicates that blood flow has been restored to the gastrointestinal system and the client is improving.
4. Restlessness is a sign of early shock.

[shenderson6]

Excellent

[jackie]

Gracias!