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.
A nurse communicates with her non–English-speaking patient through an interpreter
Common errors in blood pressure assessment
Patient teaching: heart assessment
Deliver abdominal thrusts to the supine unconscious patient.
Insulin, glucagon, and blood glucose.
Blood pressure measurements: Auscultation of blood pressure