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While assessing a client’s IV site during a Vancomycin infusion, the nurse notes swelling and blanching around the insertion site. The nurse stops the infusion. Which action should the nurse take next? Select all that apply.

A nurse is preparing to administer blood to a client. The unit of blood on hand is type O-negative, and the client has type B-positive blood. Which of the following actions should the nurse take?

A charge nurse is supervising a newly licensed nurse caring for a client receiving a red blood cell transfusion. The nurse suspects a possible hemolytic reaction. After the blood transfusion is stopped, which of the following actions by the new nurse requires intervention by the charge nurse?

The nurse has initiated a platelet transfusion. The client develops a new temperature of 39°C and blood pressure of 86/42 mm Hg. What is the priority nursing action?

The nurse is assessing a client prescribed long-term prednisone for immune thrombocytopenic purpura. Which findings are associated with chronic corticosteroid use? Select all that apply.

The postoperative client was ordered ceftriaxone 2 gm in 50 mL of dextrose in water. The nurse administered the following: Which intervention should the nurse implement first?

The nurse is caring for a 21-year-old male client who presents to the Emergency Department for dyspnea. Use the chart to answer the questions. The chart may update as the scenario progresses. Which five cues are most concerning?

The nurse is preparing a client for a bone marrow aspiration and biopsy of the anterior iliac crest. Place the nursing actions in order. 

Which condition is a common cause of folic acid deficiency? 

A nurse is caring for a client with type AB+ blood who has a hemoglobin level of 7.9 g/dL. The nurse began a packed red blood cell transfusion of type AB- blood at 1600. The nurse records the client’s vital signs throughout the first 30-minutes of the transfusion.  Thirty minutes into the transfusion, the client complains of chills and a headache. She denies urticaria, flank pain, and dyspnea.  Based on the client’s findings, the nurse suspects which type of transfusion reaction?