1. Nurse Esther listens to liebermans abdomen. Which of the following sounds
is an expected finding for Lieberman?: C
2. She's feeling lightheaded and dizzy. Her skin is pale. Priority action?: Mea-
sure Ms. Leibermans vital signs
3. She's feeling worse. Nurse Esther starts oxygen at 2L/min. Priority action?-
: lower the head of the bed
4. Preparing to administer a unit of packed RBC's. What should she do prior to
administering the blood?: Ask Ms. Lieberman if she has experienced a reaction
with any previous blood transfusions
5. Identify correct sequence of actions after nurse Esther performs hand
hygiene and applies gloves.: (1)Spike and prime the y-set tubing with the 0.9%
sodium chloride solution. (2)Attach the tubing to the IV catheter and begin to infuse
the 0.9% sodium chloride solution. (3) gently rotate the bag of packed RBC's. (4)
attach the packed RBC's bag to the y- tube setting. (5) turn off the 0.9% sodium
chloride solution. (6) infuse the packed RBC's .
6. Patient is restless, her face is flushed, and she reports having a headache.
Which of the following is an appropriate action for nurse Esther to take?: Stop
the blood transfusion.
7. Using SBAR format...: S- 836 year old client admitted from the emergency
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is an expected finding for Lieberman?: C
2. She's feeling lightheaded and dizzy. Her skin is pale. Priority action?: Mea-
sure Ms. Leibermans vital signs
3. She's feeling worse. Nurse Esther starts oxygen at 2L/min. Priority action?-
: lower the head of the bed
4. Preparing to administer a unit of packed RBC's. What should she do prior to
administering the blood?: Ask Ms. Lieberman if she has experienced a reaction
with any previous blood transfusions
5. Identify correct sequence of actions after nurse Esther performs hand
hygiene and applies gloves.: (1)Spike and prime the y-set tubing with the 0.9%
sodium chloride solution. (2)Attach the tubing to the IV catheter and begin to infuse
the 0.9% sodium chloride solution. (3) gently rotate the bag of packed RBC's. (4)
attach the packed RBC's bag to the y- tube setting. (5) turn off the 0.9% sodium
chloride solution. (6) infuse the packed RBC's .
6. Patient is restless, her face is flushed, and she reports having a headache.
Which of the following is an appropriate action for nurse Esther to take?: Stop
the blood transfusion.
7. Using SBAR format...: S- 836 year old client admitted from the emergency
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