A nurse remains with a client to observe for any adverse reactions after initiating a transfusion of packed RBCs. The client becomes apprehensive and tachycardic. reporting headache and low back pain. The nurse should recognize that these findings indicate which of the following transfusion reactions?

Hemolytic

Allergic

Febrile

Bacterial

Answer and Explanation

The Correct Answer is A

A. Hemolytic: Acute hemolytic transfusion reactions can occur quickly after starting a transfusion and present with symptoms such as fever, chills, headache, low back pain, tachycardia, and apprehension. It is a serious reaction caused by the destruction of transfused red blood cells.

B. Allergic: Allergic reactions to blood transfusions typically present with hives, itching, and anaphylaxis, not low back pain or tachycardia.

C. Febrile: Febrile reactions involve fever and chills but not typically headache or back pain.

D. Bacterial: Bacterial contamination of blood can cause fever and chills, but not specifically the symptoms of headache and low back pain described.

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Correct Answer is C

Explanation

A. Cashews: Cashews contain iron, but the amount is relatively low compared to other sources like red meat.

B. Oranges: Oranges are high in vitamin C, which aids iron absorption, but they are not a significant source of iron.

C. Red meat: Red meat is an excellent source of heme iron, which is highly bioavailable and effectively addresses iron deficiency.

D. Yogurt: Yogurt is not a significant source of iron. It contains other nutrients, but it is not relevant for increasing iron intake.

A. 1 cup canned black beans B. 8 a whole milk C. 1.5 oz raisins D. 8 or black tea

Correct Answer is A

Explanation

A. 1 cup canned black beans - Black beans are high in iron and an excellent dietary recommendation for someone with iron deficiency anemia.

B. 8 oz whole milk - While nutritious, milk is not a significant source of iron and can actually inhibit iron absorption due to its calcium content.

C. 1.5 oz raisins - Raisins do contain some iron, but the amount is relatively small compared to black beans. They are a good supplement but not the best primary source of iron.

D. 8 oz black tea - Tea contains tannins that can inhibit iron absorption, making it an unsuitable recommendation for someone needing to increase their iron levels.

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Naxlex Comprehensive Predictor Exams

A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. Which of the following foods should the nurse recommend to the client?

Correct Answer is A

Explanation

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A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. Which of the following actions is the nurse's priority?

A nurse is caring for a client who has a prescription for one unit of packed RBCs. The nurse should plan to remain in the room with the client at which of the following times during the infusion to observe for a transfusion reaction?

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