A nurse is assisting in the care of a client who just started receiving a blood transfusion 5 min ago. Which of the following findings should be reported first to the provider?
Headache
Dyspnea
Hyperthermia
Urticaria
The Correct Answer is B
A. Headache can be a common side effect of blood transfusion but is not typically considered an urgent or life-threatening complication requiring immediate reporting.
B. Dyspnea (difficulty breathing) can indicate a serious transfusion reaction such as transfusion- related acute lung injury (TRALI) or circulatory overload and should be reported immediately to the provider for further evaluation and intervention.
C. Hyperthermia (elevated body temperature) may indicate a febrile reaction to the transfusion but is not as immediately life-threatening as dyspnea.
D. Urticaria (hives) is a common allergic reaction to blood transfusion but is not typically considered as urgent or life-threatening as dyspnea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A BMI of 24 is within the normal range and is not typically considered a significant risk factor for cardiovascular disease.
B. Type 1 diabetes mellitus is a significant risk factor for cardiovascular disease due to its
association with insulin deficiency and potential complications such as coronary artery disease.
C. Family history of osteoporosis is a risk factor for osteoporosis, not cardiovascular disease.
D. Orthostatic hypotension, while a medical condition, is not typically considered a direct risk factor for cardiovascular disease.
Correct Answer is C
Explanation
Emptying the drainage bag once a day is not frequent enough and could lead to overfilling and potential urinary tract infections.
Applying antiseptic ointment to the tip of the penis is not recommended as it can cause irritation and increase the risk of infection.
Keeping the drainage bag below the level of the waist helps prevent backflow of urine into the bladder and reduces the risk of infection.
Clamping the tube when going for a walk can cause urine to back up into the bladder and increase the risk of infection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
