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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Documents medication administration prior to administering it: This is incorrect practice. Medication administration should be documented only after it has been given to ensure accuracy and accountability.
B. Checks the provider's orders and confirmed dosage in a medication reference guide: This is a correct practice to ensure that the medication order and dosage are accurate.
C. Scans the bar code on the medication administration record and the client's arm band: This is a correct practice to verify the medication and patient identity, enhancing safety.
D. Verifies the medication against the prescription and medication label: This is a correct practice to confirm that the correct medication and dosage are administered.
Correct Answer is C
Explanation
A. Notify the nurse manager: While notifying the nurse manager is important, it is not the immediate priority when a medication error occurs.
B. Complete an incident report: Completing an incident report is necessary for documentation but should not be done before ensuring the client's safety.
C. Assess the client: This is the correct first action. The nurse must first assess the client to determine if there are any immediate adverse effects or reactions to the incorrect medication.
D. Call the client's provider: While it is important to inform the provider, assessing the client's condition takes precedence to address any immediate health concerns.
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