8. The nurse is caring for a patient who needs a blood tran…
8. The nurse is caring for a patient who needs a blood transfusion. The patient has been tested and was found to have blood type O. The RN has initiated the blood transfusion and delegated the LPN to monitor the patient. Upon entering the room the LPN notes A positive blood infusing. Which of the following actions should be priority?
Read Details9. The patient is brought to the emergency department after…
9. The patient is brought to the emergency department after a motor vehicle accident and has lost a large volume of blood. The physician provides a verbal order for the nurse to set up the trauma room for a rapid intravenous bolus infusion of an isotonic solution. What is the nurse’s appropriate action?
Read Details4. The nurse is hanging an IV infusion when the patient sta…
4. The nurse is hanging an IV infusion when the patient states, “Oh, oh stop it. That is burning real bad.” Upon assessment the site is noted to be absent of s/s of infiltration. Which of the following nursing actions is priority?
Read Details17. A patient has been admitted to the emergency department…
17. A patient has been admitted to the emergency department. Using the following chart which of the following would be priority? Patient History and Physical Laboratory Data Vital Signs Hx: CAD, HTN and Renal Failure Alert & Oriented X1 PERRLA Lung sound clear HR irregular 3+ pitting edema CVA tenderness EKG impression: noted irregularity with flat P-wave, widened QRS, Peaked T-wave, and Prolonged PR complex. Na 137 K+ 8.9 BUN 84 Cr Hgb 12.9 Hct 37% Plt 180,000 WBC 7000 BP 140/90 HR 102 RR 22 T 100.1 O2 Sat 95%
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