A nurse is monitoring a client receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

Distended jugular veins.

Generalized urticaria.

Bilateral flank pain.

Blood pressure 184/92 mm Hg.

Answer and Explanation

The Correct Answer is B

A. Distended jugular veins may indicate fluid overload or congestive heart failure, not an allergic reaction.

B. Generalized urticaria, or hives, is a classic sign of an allergic transfusion reaction, presenting as an itchy rash or welts on the skin.

C. Bilateral flank pain is more indicative of a hemolytic reaction, particularly due to kidney involvement, rather than an allergic reaction.

D. A blood pressure of 184/92 mm Hg may suggest hypertension or a reaction, but it is not specific to allergic transfusion reactions, which are characterized by skin symptoms like urticaria.

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Correct Answer is B

Explanation

A. While legumes are a good source of protein, they do not provide the high-calorie density needed for someone experiencing wasting syndrome.

B. Consuming high-calorie snacks between meals is the most appropriate suggestion as it helps increase overall caloric intake, which is essential for clients with wasting syndrome to help maintain weight and improve nutritional status.

C. Using canola oil instead of butter may not significantly impact caloric intake, and clients with wasting syndrome may need higher-calorie options.

D. Adding celery to soups or salads adds volume but is low in calories and may not contribute significantly to the dietary needs of someone experiencing wasting syndrome.

A. Fungal and bacterial infections B. Flu-like symptoms and night sweats C. Kaposi's sarcoma D. Pneumocystis lung infection

Correct Answer is B

Explanation

A. Fungal and bacterial infections can occur later as the immune system becomes compromised, but they are not initial symptoms of HIV infection.

B. Flu-like symptoms and night sweats are common initial manifestations of acute HIV infection, often occurring within 2-4 weeks after exposure.

C. Kaposi's sarcoma is a type of cancer associated with advanced HIV/AIDS and not an initial symptom of infection.

D. Pneumocystis lung infection typically occurs later in the course of HIV disease when the immune system is severely weakened, not during the initial infection stage.

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A nurse is monitoring a client receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

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