NCLEX EXAM PREVIEW 2023 / NCLEX EXAM PREVIEW 2024 WITH 100% CORRECT ANSWERS

NCLEX EXAM PREVIEW 2023 / NCLEX EXAM PREVIEW 2024 WITH 100% CORRECT ANSWERS The nurse is caring for a client who is receiving a blood transfusion and states, "I feel chilled and am having back pain." Which of the following actions should the nurse take? Select all that apply. 1. Stop the transfusion. 2. Check the client's vital signs. 3. Notify the client's primary health care provider. 4. Return the blood and infusion tubing to the blood bank. 5. Infuse 5% dextrose in water through the intravenous catheter. 6. Administer a dose of an antiemetic prescribed p.r.n. to the client. - CORRECT ANSWER-1, 2, 3, 4 Back pain and chills are symptoms of Hemolytic transfusion reaction (wrong blood type). Must stop infusion, check vital signs, and notify the provider 5. NS to keep the line open, not dextrose in water The nurse is preparing a staff education program about total parenteral nutrition (TPN). Which of the following information should the nurse include? Select all that apply. 1. "The TPN intravenous tubing should be changed once a week." 2. "TPN can be administered through a peripherally inserted central catheter (PICC)." 3. "Clients receiving TPN should be weighed daily." 4. "An infusion pump is used to deliver TPN." 5. "Serum glucose levels should be monitored in clients receiving TPN." - CORRECT ANSWER-2, 3, 4, 5 1. TPN tubing is changed daily (every 24hr)!