A nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?
Hemolysis
Urticaria
Fever
Fluid overload
The Correct Answer is B
A. Hemolysis: This is a severe reaction to blood transfusion involving the destruction of red blood cells and requires different management strategies.
B. Urticaria: Diphenhydramine is used to prevent or treat urticaria (hives), which is a mild allergic reaction and can be managed with antihistamines.
C. Fever: This is typically managed with antipyretics or by addressing the underlying cause rather than antihistamines.
D. Fluid overload: This condition requires management with diuretics and careful monitoring of fluid intake rather than antihistamines.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Atorvastatin: This medication is used to manage cholesterol levels and is not typically associated with orthostatic hypotension.
B. Telmisartan: This angiotensin II receptor blocker (ARB) can cause orthostatic hypotension, especially when starting or adjusting the dose of the medication.
C. Duloxetine: This serotonin-norepinephrine reuptake inhibitor (SNRI) may contribute to orthostatic hypotension, particularly in older adults.
D. Furosemide: This diuretic can lead to orthostatic hypotension due to its effect on fluid balance and blood pressure.
E. Clopidogrel: This antiplatelet medication does not generally cause orthostatic hypotension.
Correct Answer is B
Explanation
A. Explain the risks and benefits of the procedure: This is the responsibility of the provider, not the nurse. The nurse can provide information but does not explain the risks and benefits.
B. Witness the client's signature: This is the correct action for the nurse regarding informed consent. The nurse's role is to witness the client’s signature after the provider has explained the procedure.
C. Obtain the client's consent: The nurse does not obtain consent; this is the provider's responsibility. The nurse’s role is to witness the signing of the consent form.
D. Explain the procedure to the client if they do not understand: This is the responsibility of the provider who has the expertise to explain the procedure. The nurse should ensure that the client has had the opportunity to ask questions and understands the information provided by the provider.
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