The Nurse Is Assessing a Client with a History of Heart

question 26

Multiple Choice

The nurse is assessing a client with a history of heart failure who is receiving a unit of packed red blood cells.The client's respiratory rate is 33 breaths/min and blood pressure is 140/90 mm Hg.Which action does the nurse take first?

• A) Administer prescribed diphenhydramine (Benadryl).
• B) Continue to monitor the client's vital signs.
• C) Stop the infusion of packed red blood cells.
• D) Slow the infusion rate of the transfusion.

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Definitions:

Bowens Reaction Series

Bowen's Reaction Series describes the sequence in which minerals crystallize from cooling magma according to their chemical composition and temperature.

Crystallize

The process by which a solid forms, where the atoms or molecules are highly structured in a pattern known as a crystal lattice.

Olivine

A green iron-magnesium silicate mineral that composes much of the upper mantle and also occurs in mafic and ultramafic igneous rocks.

Plagioclase

A very common rock-forming feldspar mineral that contains sodium, calcium, or both elements.