White blood cell count 16,000/mm3
Platelet count 426,000/ mm3
Hemoglobin 10.9 g/dL
The new RN waits 20 minutes after obtaining the PRBCs before starting the infusion.
The new RN starts an intravenous line for the transfusion using a 22-gauge catheter.
The new RN primes the transfusion set using 5% dextrose in lactated Ringer’s solution.
The new RN tells the client that the PRBCs may cause a serious transfusion reaction.
Give morphine sulfate 4-8 mg IV every hour as needed.
Start a large-gauge IV line and infuse normal saline at 200 mL/hour.
Immunize with Pneumovax and Haemophilus influenzae vaccines.
Administer oxygen at an F102 of 100% per non-rebreather mask.
Use Hemoccult slides to obtain stool specimens.
Have the client sign a colonoscopy consent form.
Administer PEG-ES (GoLYTELY) bowel preparation.
Check for allergies to contrast dye or shellfish.
A 30-year-old client with thalassemia major who has an order for subcutaneous infusion of deferoxamine (Desferal)
A 43-year-old client with multiple myeloma who needs discharge teaching
A 52-year-old client with chronic gastrointestinal bleeding who has returned to the unit after a colonoscopy
A 65-year-old client with pernicious anemia who has just been admitted to the unit
The client with digoxin toxicity
The client with viral pneumonia
The client with shingles
The client with cellulitis
The LPN encourages the client to use the ordered PCA.
The LPN positions cold packs on the client’s knees.
The LPN places a “No Visitors” sign on the client’s door.
The LPN checks the client’s temperature every 2 hours.