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A nurse cares for a client during an autologous blood transfusion. Thirty minutes afterthe transfusion was started, the client reports chills. The client’s blood pressure has decreased from 122/84 to 108/62. Which action will the nurse take FIRST? 1. Administer oral diphenyhydramine 25 mg. 2. Administer 0.45% sodium chloride 100 mL/hour intravenously. 3. Stop the transfusion and remove the blood infusion tubing immediately. 4. Check the client’s oral temperature and oxygen saturation le...

1. The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take? a. Turn on the television. b. Explain the procedure.

Which of these is the best explanation of how a smooth round stone became smooth? - ANSWER- It was in a stream for a long When a lobster grows a claw to replace one that was lost, the process is called - ANSWER- regeneration.

1) A nurse is caring for a pt who is receiving Haloperidol. The nurse should identify which of the following findings as an adverse effect of the med? -Akathisia = CORRECT ANSWER An adverse effect associated with haloperidol is the development of extrapyramidal manifestations such as dystonia, pseudoparkinsonism, and akathisia. -Paresthesia Haloperidol, an antipsychotic neuroleptic medication, can cause CNS adverse effects such as seizures, confusion, and neuroleptic syndrome. However, p...

A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? A.Decreased bowel sounds B. Distended neck veins C. Bilateral muscle weakness D. Thread pulse - ANSWER- B. Distended neck veins A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treat...

A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? A.Decreased bowel sounds B. Distended neck veins C. Bilateral muscle weakness D. Thread pulse - ANSWER- B. Distended neck veins A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treat...

A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? a. Reye's syndrome b. Visual disturbances c. Diabetes mellitus d. Wilm's tumor

1. The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug? A Prevents the formation of kidney stones. B Decreases pain and burning during urination. C Promotes excretion of uric acid in the urine. D Increases the strength of the urine stream.

A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Absent bowel sounds c. Hgb 8.2 g/dl d. Gastric pH of 3.0 (normal 0-4) A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Desmopressin b. Regular insulin c. Furosemide d. Lithium carbonate