Question

85. A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right placing them in the order of performance. Use all the steps.)

A. Obtain the unit of packed RBCs from blood bank.

B. Verity blood compatibility with another nurse.

C. Obtain venous access using a 19-gauge needle.

D. Initiate transfusion of the unit of packed RBCS.

E. Remain with the client for the first 15 to 30 min of the infusion,

86. A nurse is caring for a client who has Parkinson's disease and is prescribed a level 1 dysphagia diet. Which of the following items should the nurse remove from the client's tray?

A. Chocolate pudding

B. Applesauce

C. Vanilla milkshake

D. Peanut butte

87. A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching?

A. "I will expect my stools to be loose."

B. "I will eat a high-fiber diet."

C. "I will take a laxative when I'm constipated.

D. "I will empty my bag when it is full."

88. A nurse is caring for an adolescent client who has an acute kidney injury. Which of the following laboratory findings should the nurse anticipate?

A. Potassium 6.8 mEq/L

B. Hgb 20 g/dL

C. Creatinine 0.4 mg/dL

D. BUN 8 mg/dL

Answer 1

85. A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the sequence of steps the nurse should follow.

step 1 - A. Obtain the unit of packed RBCs from blood bank.

step 2 - B. Verity blood compatibility with another nurse.

step 3 - C. Obtain venous access using a 19-gauge needle.

step 4 - D. Initiate transfusion of the unit of packed RBCS.

step 5 - E. Remain with the client for the first 15 to 30 min of the infusion,

86. A nurse is caring for a client who has Parkinson's disease and is prescribed a level 1 dysphagia diet. Which of the following items should the nurse remove from the client's tray?

Ans - A. Chocolate pudding - as it is difficult to swallow

Rest all below optionaire are easy to swallow

B. Applesauce

C. Vanilla milkshake

D. Peanut butte

87. A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching?

Ans - D. "I will empty my bag when it is full."

explanation - ileostomy is a condition where small intestine(ileum) is brough out through abdominalmwall through which stoolmcomes out in loquid form, so patient has to empty bag once filled.

88. A nurse is caring for an adolescent client who has an acute kidney injury. Which of the following laboratory findings should the nurse anticipate?

Ans - A. Potassium 6.8 mEq/L

Rest all parameters are normal so cant be sen in acute kidney injury

B. Hgb 20 g/dL

C. Creatinine 0.4 mg/dL

D. BUN 8 mg/dL