A 12-year-old child is undergoing a blood transfusion via an infusion pump and begins to complain of “itchy skin” 15
minutes after the start of the blood unit.
The child appears flushed.
What action should the practical nurse (PN) take?
Stop the transfusion.
Prepared by Dr Paul Mugo
11 Page of 77
Inspect the infusion site.
Apply lotion to the skin.
The Correct Answer is A
Choice A rationale
If a child undergoing a blood transfusion complains of itchy skin and appears flushed, these
could be signs of a transfusion reaction. The PN should stop the transfusion immediately.
Choice B rationale
While inspecting the infusion site is a part of regular monitoring during a transfusion, it would
not typically be the first action in response to symptoms of a possible transfusion reaction.
Choice C rationale
Applying lotion to the skin would not address the underlying issue if the child is experiencing a
transfusion reaction.
Choice D rationale
Checking the vital signs is important, but the first action should be to stop the transfusion if a
reaction is suspected.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale
Cyclosporine is a medication used to prevent organ rejection in transplant patients. Grapefruit and grapefruit juice should be avoided by patients taking cyclosporine as it may alter the drug’s metabolism, making the drug’s actions unpredictable.
Choice A rationale
There is no specific restriction on consuming potatoes for patients taking cyclosporine.
Choice B rationale
There is no specific restriction on consuming eggs for patients taking cyclosporine.
Choice D rationale
There is no specific restriction on consuming spinach for patients taking cyclosporine.
Correct Answer is B
Explanation
Choice A rationale
Hand tremors are not a common side effect of drospirenone.
Choice B rationale
Heart palpitations are a serious side effect of drospirenone and should be reported to the healthcare provider immediately.
Choice C rationale
Decreased reflexes are not a common side effect of drospirenone.
Choice D rationale
Loss of energy is not a common side effect of drospirenone.
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