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Questions 148

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Question 1 of 5

A nurse prepares to administer a transfusion of RBCs and takes the client's vital signs. The client's temperature is 102.7°F, but other vitals are within normal limits. The nurse should

Correct Answer: D

Rationale: Fever (102.7°F) may indicate an infection or transfusion reaction risk. The physician should be contacted before proceeding with the transfusion.

Question 2 of 5

A nurse prepares to administer a transfusion of RBCs and takes the client's vital signs. The client's temperature is 102.7°F, but other vitals are within normal limits. The nurse should

Correct Answer: D

Rationale: Fever (102.7°F) may indicate an infection or transfusion reaction risk. The physician should be contacted before proceeding with the transfusion.

Question 3 of 5

The RN is making assignments for the day. Which one of the following duties can be assigned to the unlicensed assistive personnel?

Correct Answer: B

Rationale: Unlicensed assistive personnel can perform routine catheter care, a non-invasive task within their scope.

Question 4 of 5

A client who has chosen to breastfeed tells the nurse that her nipples became very sore while she was breastfeeding her older child. Which measure will help her to avoid soreness of the nipples?

Correct Answer: B

Rationale: Breaking suction gently prevents nipple trauma, reducing the risk of soreness during breastfeeding.

Question 5 of 5

An end-of-life client receiving home hospice care states he no longer wants to eat. The nurse should

Correct Answer: C

Rationale: In hospice care, respecting the client’s autonomy is key. Accepting the decision to stop eating and focusing on comfort aligns with end-of-life care principles.

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