Medsurg Ati Proctored Rn Study Guide Graded A+

A nurse is assisting with the care of a postoperative client who is receiving a unit of packed RBCs. Which of the following manifestations should the nurse recognize as an indication of a septic reaction to the blood transfusion? a) Hypertension b) Vomiting c) Distended neck veins d) Polyuria {Ans: B. Vomiting}A nurse is collecting data from a client who underwent a thyroidectomy 4 hr ago. Which of the following client findings indicates a complication of the procedure? a) Tingling of the fingers b) Report of sore throat c) Serosanguineous drainage on the dressing d) Soreness at the incision site {Ans: A. Tingling of the fingers}A nurse is caring for a client who has a terminal illness and is in the active phase of dying. The client refuses further hydration and nourishment. Which of the following actions should the nurse take? a) Request a prescription for IV fluids. b) Ask the client's health care surrogate for permission to withhold nourishment. c) Provide regular oral care for the client with a moist swab. d) Explain the importance of oral hydration to the chest. {Ans: c) Provide regular oral care for the client with a moist swab.}A nurse is