A client expresses anxiety and fear about receiving a blood transfusion. What action should the nurse take to address the client's concerns?

Explain the blood transfusion procedure in detail to the client.

Offer the client a warm blanket to help them relax during the transfusion.

Ask the healthcare provider to order a sedative for the client before the transfusion.

Provide the client with information about the benefits and risks of the transfusion.

Answer and Explanation

The Correct Answer is D

A) Incorrect: While explaining the blood transfusion procedure is essential, doing so in excessive detail may increase the client's anxiety. The nurse should provide information in a clear and concise manner, addressing the client's specific concerns.

B) Incorrect: Offering a warm blanket is a comfort measure but may not be sufficient to address the client's anxiety and fear about the transfusion. The nurse should engage in therapeutic communication and provide emotional support.

C) Incorrect: Requesting a sedative for the client may not be the best course of action unless specifically prescribed by the healthcare provider. It is essential to explore other interventions to address the client's anxiety before resorting to medication.

D) Correct: Providing the client with information about the benefits and risks of the transfusion can help alleviate their anxiety and fear. The nurse should engage in patient education, discuss the purpose of the transfusion, potential benefits, and possible risks involved. This empowers the client with knowledge and helps them make informed decisions.

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Correct Answer is C

Explanation

A) Incorrect: Administering epinephrine is not the appropriate intervention for an allergic transfusion reaction characterized by urticaria and itching. Epinephrine is used to treat anaphylactic reactions.

B) Incorrect: Stopping the transfusion and disconnecting the IV tubing is appropriate in the event of an allergic transfusion reaction, but it should not be the first action. The nurse should first slow down or stop the transfusion if mild symptoms are present and notify the healthcare provider for further instructions.

C) Correct: Slowing down the transfusion rate may be appropriate for mild allergic reactions to reduce symptoms. However, if the reaction worsens, the nurse should stop the transfusion immediately.

D) Incorrect: Obtaining a blood sample for repeat crossmatching is not indicated in an allergic transfusion reaction. Allergic reactions are related to hypersensitivity to plasma proteins and do not involve compatibility issues between red blood cells and plasma.

Questions

A. AB-positive (AB+). B. B-negative (B-). C. A-negative (A-). D. AB-negative(AB-).

Correct Answer is A

Explanation

A. AB-positive (AB+) individuals are universal recipients for red blood cells and can safely receive blood from an O-positive (O+) donor.
B. B-negative (B-) individuals require type B or O blood but must receive Rh-negative blood to avoid incompatibility.
C. A-negative (A-) individuals require type A or O blood and must receive Rh-negative blood.
D. AB-negative (AB-) individuals require type AB, A, B, or O blood but must receive Rh-negative blood to prevent a reaction.

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A client expresses anxiety and fear about receiving a blood transfusion. What action should the nurse take to address the client's concerns?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who develops urticaria (hives) and itching during a blood transfusion. The nurse suspects an allergic transfusion reaction. What is the appropriate nursing action?

Correct Answer is C

Explanation

A nurse is preparing to crossmatch blood for a client with blood type O-positive(O+). Which blood type can safely receive blood from this client?

Correct Answer is A

Explanation

A nurse is caring for a client who experienced a mild allergic reaction during a blood transfusion. Which action should the nurse take to prevent future allergic reactions in this client?

A nurse is assessing a client's history before a blood transfusion. Which condition should the nurse identify as a contraindication for transfusion?

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