A nurse is caring for a client who is experiencing chills and back pain during a blood transfusion. What should be the nurse’s priority action?

Assess the client’s skin for a rash.

Notify the provider.

Cover the client with a blanket.

Stop the transfusion.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While assessing the client’s skin for a rash could be part of the overall assessment of the client’s condition, it is not the priority action when a client is experiencing chills and back pain during a blood transfusion.
Choice B rationale
Notifying the provider is an important step when a client is experiencing a reaction to a blood transfusion, but it is not the first action that should be taken.
Choice C rationale

Covering the client with a blanket may provide comfort to the client, but it does not address the underlying issue of a potential transfusion reaction.
Choice D rationale
The priority action when a client is experiencing chills and back pain during a blood transfusion is to stop the transfusion. This is because these symptoms could indicate a transfusion reaction, which can be serious.

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Correct Answer is D

Explanation

Choice A rationale
Hepatitis C is not spread through inhalation. It is a bloodborne virus that is most commonly spread through direct contact with the blood of an infected person.
Choice B rationale
While it is possible for hepatitis C to be spread through semen, this is less common. The risk is higher for men who have sex with men, especially if they are also infected with HIV6.
Choice C rationale
Hepatitis C is not spread through feces. It is a bloodborne virus that is most commonly spread through direct contact with the blood of an infected person.
Choice D rationale
Hepatitis C is primarily spread through blood. This can occur through sharing needles, syringes, or other equipment to inject drugs, or through needle-stick injuries among healthcare workers.

A. You may donate blood 6 months after completing the medication regimen. B. Rest frequently throughout the day. C. Take acetaminophen every 4 hours, as needed, for discomfort. D. Consume a high-protein diet.

Correct Answer is B

Explanation

Choice A rationale
Donating blood after completing the medication regimen is not typically recommended for patients with hepatitis B. Hepatitis B is a bloodborne virus, and individuals with the virus should not donate blood.
Choice B rationale
Resting frequently throughout the day is a key part of self-management for patients with hepatitis B. Rest can help the body recover and fight off the virus.
Choice C rationale

Taking acetaminophen every 4 hours for discomfort is not typically recommended for patients with hepatitis B. Overuse of acetaminophen can lead to liver damage, which can be particularly harmful for individuals with liver diseases like hepatitis B56.
Choice D rationale
Consuming a high-protein diet is not typically recommended for patients with hepatitis B. A balanced diet is important for overall health, but there are no specific dietary recommendations for hepatitis B56.

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A nurse is caring for a client who is experiencing chills and back pain during a blood transfusion. What should be the nurse’s priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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