A nurse is preparing to administer diphenhydramine to a client who is to receive a blood transfusion. The nurse should explain that the purpose diphenhydramine is to prevent which of the following manifestations of a transfusion reaction?
Low-back pain
Fever
Dyspnea
Urticaria
The Correct Answer is D
A) Low-back pain:
Low-back pain is not typically associated with transfusion reactions. While certain complications of blood transfusions, such as transfusion-related acute lung injury (TRALI) or hemolytic reactions, can cause back pain, diphenhydramine is not specifically administered to prevent this manifestation.
B) Fever:
Fever can be a manifestation of various transfusion reactions, including febrile non-hemolytic reactions or bacterial contamination of blood products. However, diphenhydramine is not typically administered to prevent fever associated with transfusion reactions. Instead, measures such as leukoreduction of blood products or premedication with acetaminophen may be used to reduce the risk of febrile reactions.
C) Dyspnea:
Dyspnea, or difficulty breathing, can occur in severe transfusion reactions such as transfusion-related acute lung injury (TRALI) or anaphylaxis. While diphenhydramine may be part of the treatment for anaphylaxis, it is not specifically administered to prevent dyspnea associated with transfusion reactions.
D) Urticaria.
Urticaria, commonly known as hives, is a common manifestation of an allergic transfusion reaction. Diphenhydramine is an antihistamine medication that can help prevent or alleviate allergic reactions, including urticaria, by blocking the action of histamine, a substance released during allergic reactions. Administering diphenhydramine before a blood transfusion is a preventive measure to reduce the risk of allergic transfusion reactions, including urticaria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Chronic diarrhea:
Overuse of laxatives is more likely to lead to chronic constipation rather than chronic diarrhea. Laxatives are typically used to treat constipation by promoting bowel movements, but overuse can disrupt normal bowel function and result in long-term constipation.
B) Chronic constipation.
Overuse of laxatives can lead to dependence on laxatives for bowel movements and can cause the smooth muscle in the colon to become less responsive to normal stimuli, resulting in decreased muscle tone. This can eventually lead to chronic constipation, where the colon becomes less effective at moving stool through the digestive tract, resulting in infrequent or difficult bowel movements.
C) Frequent vomiting:
Overuse of laxatives does not typically lead to frequent vomiting. Vomiting is more commonly associated with conditions affecting the upper gastrointestinal tract, such as gastroenteritis, gastritis, or other gastrointestinal disorders.
D) Chronic nausea:
Overuse of laxatives may cause gastrointestinal discomfort or upset stomach, but it is not typically associated with chronic nausea. Chronic nausea may be caused by various factors such as gastrointestinal disorders, medications, or other underlying medical conditions unrelated to laxative use.
Correct Answer is B
Explanation
A. Chronic diarrhea: Overuse of laxatives is more likely to cause chronic constipation rather than chronic diarrhea. While some types of laxatives can lead to diarrhea as a side effect, chronic diarrhea is less common with laxative overuse compared to chronic constipation.
B. Chronic constipation
When the smooth muscle in the colon loses its tone due to overuse of laxatives, it can lead to chronic constipation. Laxatives work by stimulating bowel movements, but frequent or excessive use can lead to dependency and decreased natural bowel function. Over time, the colon may become less responsive to normal stimuli, resulting in difficulty passing stool and chronic constipation.
C. Frequent vomiting: Overuse of laxatives is not directly associated with frequent vomiting. Vomiting can occur as a result of various gastrointestinal issues, but it is not a typical consequence of laxative overuse.
D. Chronic nausea: While gastrointestinal symptoms such as nausea may occur as a side effect of some laxatives, chronic nausea is not a common consequence of laxative overuse. It is more likely to result from other underlying medical conditions or gastrointestinal disturbances.
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