A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the healthcare provider?

Lower back pain and hypotension.

Delayed painful rash with urticaria.

Acute rhinitis and nasal stuffiness.

Arthritic joint changes and chronic pain.

Answer and Explanation

The Correct Answer is A

Lower back pain and hypotension are symptoms of an ABO incompatibility reaction, which is a serious complication of blood transfusion. This reaction occurs when the client receives a blood type that is incompatible with their own. It can cause a rapid and severe response, including back pain, hypotension, fever, and chills. This should be reported immediately to the healthcare provider.

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Correct Answer is B

Explanation

Choice A rationale
Latent hepatitis C is not a contraindication for peritoneal dialysis. While it may require additional monitoring and treatment, it does not prevent a patient from receiving peritoneal dialysis.
Choice B rationale
Crohn’s disease with colectomy is a contraindication for peritoneal dialysis. The presence of extensive adhesions and fibrosis from the surgery can make the peritoneum unsuitable for dialysis.
Choice C rationale
A history of nephrotic syndrome is not a contraindication for peritoneal dialysis. Nephrotic syndrome is a kidney disorder, and peritoneal dialysis can be used as a treatment for patients with kidney disease.
Choice D rationale
Type 2 diabetes mellitus is not a contraindication for peritoneal dialysis. Many patients with diabetes undergo peritoneal dialysis. However, careful monitoring of blood glucose levels is necessary, as the dialysis solution used in peritoneal dialysis contains glucose.

A. Painful areas should be rubbed gently until the pain subsides. B. Wearing gloves when handling cold items guards against painful spasms. C. Return appointments will be needed for IV pain medication. D. Enrolling in a pain clinic can provide pain relief alternatives.

Correct Answer is B

Explanation

Choice A rationale
Rubbing painful areas gently until the pain subsides is not typically recommended for managing pain in Raynaud’s disease. This could potentially cause more harm than good19.
Choice B rationale
Wearing gloves when handling cold items can help guard against painful spasms in Raynaud’s disease. Cold temperatures can trigger Raynaud’s attacks, so protecting the hands from cold is a key part of managing the condition19.
Choice C rationale
The need for return appointments for IV pain medication is not typically a primary component of pain management in Raynaud’s disease. Pain in Raynaud’s disease is usually managed through lifestyle modifications and medications19.
Choice D rationale
While enrolling in a pain clinic can provide pain relief alternatives, it’s not the first line of management for pain in Raynaud’s disease. The primary management strategies include avoiding cold exposure and using medications to improve blood flow19.

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A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition entered on the client’s medical record should the nurse recognize as a contraindication for peritoneal dialysis?

Correct Answer is B

Explanation

A client who was recently diagnosed with Raynaud’s disease is concerned about pain management. Which nursing instruction should the nurse provide?

Correct Answer is B

Explanation

A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the healthcare provider?

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