A nurse is monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has urticaria and is wheezing. Which of the following types of transfusion reactions should the nurse suspect?

Febrile

Circulatory overload

Acute hemolytic

Anaphylactic

Answer and Explanation

The Correct Answer is D

The correct answer is D. Anaphylactic reactions are characterized by urticaria, wheezing, hypotension, and bronchospasm. They are caused by an IgE-mediated hypersensitivity to plasma proteins in the donor blood.

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Correct Answer is A

Explanation

The correct answer is A. Anterior fontanel closed. The anterior fontanel is one of two soft spots on an infant's skull that allow for brain growth and development. The anterior fontanel normally closes between 9 and 18 months of age. If it closes earlier than expected, it may indicate a condition called craniosynostosis, which is when the skull bones fuse prematurely and restrict brain growth. This can lead to increased intracranial pressure, developmental delays, and abnormal head shape. Therefore, if a nurse observes that a 4-month-old infant has a closed anterior fontanel, they should notify the provider for further evaluation. The other options are normal developmental milestones for a 4-month-old

infant and do not require notification of the provider.

A. I have to take this medication on an empty stomach." B. 1 will need to remain upright for 1 hour after taking the medication." C. 1 should expect to have diarrhea while taking this medication." D. I can take antacids at the same time as this medication."

Correct Answer is B

Explanation

The correct answer is choice b. I will need to remain upright for 1 hour after taking the medication.

Choice A rationale:

Pantoprazole can be taken with or without food, so it does not need to be taken on an empty stomach.

Choice B rationale:

Remaining upright for at least 1 hour after taking pantoprazole helps prevent acid reflux and ensures the medication works effectively.

Choice C rationale:

Diarrhea is a possible side effect of pantoprazole, but it is not an expected outcome for all patients. If diarrhea occurs, it should be reported to a healthcare provider.

Choice D rationale:

Antacids can be taken with pantoprazole, but it is generally recommended to take them at different times to avoid potential interactions.

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A nurse is monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has urticaria and is wheezing. Which of the following types of transfusion reactions should the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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