A client who is receiving a blood transfusion develops a fever, chills, headache, and back pain. The nurse should suspect that the client is experiencing which of the following types of transfusion reactions?

Hemolytic

Febrile

Allergic

Circulatory overload

Answer and Explanation

The Correct Answer is B

B. Febrile transfusion reaction is a common type of transfusion reaction that occurs when the recipient's antibodies react with the donor's leukocytes and cause fever, chills, headache, and malaise.

A is incorrect because hemolytic transfusion reaction is a rare but serious type of transfusion reaction that occurs when the recipient's antibodies react with the donor's erythrocytes and cause hemolysis, hemoglobinuria, hypotension, tachycardia, and renal failure.

C is incorrect because allergic transfusion reaction is a type of transfusion reaction that occurs when the recipient's antibodies react with the donor's plasma proteins and cause urticaria, pruritus, angioedema, and anaphylaxis.

D is incorrect because circulatory overload is a type of transfusion complication that occurs when the infusion rate exceeds the recipient's cardiac output and causes dyspnea, orthopnea, crackles, tachycardia, hypertension, and pulmonary edema.

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Correct Answer is A

Explanation

Answer: A. Cefazolin is a cephalosporin antibiotic that has a cross-sensitivity with penicillin and should be avoided by clients who are allergic to penicillin.

B is incorrect because ciprofloxacin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.

C is incorrect because vancomycin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.

D is incorrect because Azithromycin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.

A. Intramuscular B. Subcutaneous C. Intravenous D. Oral

Correct Answer is C

Explanation

Answer: C. Intravenous injection is the fastest route for administering diphenhydramine in a severe allergic reaction because it provides immediate onset of action and avoids the first-pass metabolism in the liver.

A and B are incorrect because intramuscular and subcutaneous injections have slower absorption rates than intravenous injection and may not provide adequate relief in an emergency situation.

D is incorrect because oral administration of diphenhydramine has the slowest absorption rate and onset of action and is subject to first-pass metabolism in the liver.

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A client who is receiving a blood transfusion develops a fever, chills, headache, and back pain. The nurse should suspect that the client is experiencing which of the following types of transfusion reactions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication list of a client who has a history of allergic reactions to penicillin and sulfa drugs. The nurse should identify that which of the following medications is contraindicated for this client?

Correct Answer is A

Explanation

A nurse is caring for a client who has a severe allergic reaction to a medication and requires immediate administration of diphenhydramine. The nurse should administer the medication by which of the following routes?

Correct Answer is C

Explanation

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