<span>The nurse respond should be is "Is he
able to sit unsupported?”. The mother in this situation is telling about the
rooting reflex; when touched on the cheek, the infant reflexively turns the head
to that side. The rooting reflex is likely to disappear by 4 months of age. An
infant can sit without support at 8 months; this is not expected of a 5-month-old
infant. Stroking the sole of the foot provokes the Babinski reflex, which
disappears between 8 and 12 months of age. The disappearance of the rooting
reflex at 5 months of age does not require further intervention</span>
D. They are able to make sounds and continue coughing
Ten minutes after the initiation of a blood transfusion, a client reports chills and flank pain so the nursing action which would be performed first is stopping blood transfusion and maintaining a patent IV catheter.
The blood transfusion procedure begins once associate intravenous (IV) line is placed onto the patient's body. it's through the IV that the patient can begin to receive the new blood. betting on the quantity of blood, an easy blood transfusion will take between 1-4 hours.
To receive the blood transfusion, you'll have an intravenous (IV) tubing inserted into a vein. A tube connects the tubing to the bag containing the blood, that is placed beyond your body. The blood then flows slowly into your vein.
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