8. A nurse is monitoring a client who is receiving a transfusion of packed RBC's. The client reports chills, headaches, low back pain, and a feeling of
... [Show More] tightness in his chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?
9. A nurse is caring for a client who is in the latent phase of Labor and reports severe back pain. The vaginal examination reveals that the cervix is dilated two centimeters, 25% effaced and -2 station. Which of the following interventions should the nurse implement?
10. A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding her newborn. Which of the following instructions should the nurse include in the teaching?
11. A nurse is preparing to administer medication to a client. What are the following identifiers should the nurse use to identify the client?
12. A nurse is caring for a client who is taking antihypertensive medication and is moving from a supine to a seated position. Which of the following findings should indicate to the nurse that the client is experiencing orthostatic hypotension?
13. While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm of the ventilator sounds. Which of the following actions should the nurse take?
14. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first?
15. A nurse is planning to administer packed RBCs to an older adult client who has a low hemoglobin level. Which of the following actions should the nurse plan to take?
16. A new nurse in an acute mental health facility is teaching a client about potential adverse effects of transcranial magnetic stimulation. The nurse tells the client that he might feel light-headed but that it should not affect his memory. The nurse is demonstrating which of the following ethical principles? [Show Less]