While receiving a transfusion of packed red blood cells, a school-aged child begins to experience itchy skin, hiver a tonsillectomy. What should the nurse do first for this child?
Obtain a blood culture.
Stop the transfusion.
Slow the transfusion rate.
Provide a diuretic as prescribed.
The Correct Answer is B
A. Obtaining a blood culture is important but is not the immediate priority when a transfusion reaction is occurring.
B. Stopping the transfusion is the first step in managing a transfusion reaction to prevent further exposure to the allergen or irritant causing the symptoms.
C. Slowing the transfusion rate might not be sufficient if a reaction is occurring; stopping it is crucial.
D. Providing a diuretic is not relevant to the management of an acute transfusion reaction.
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Related Questions
Correct Answer is C
Explanation
A. Erikson's stage of initiative versus guilt typically occurs during the preschool years (3-6 years), not the toddler stage.
B. Imaginary playmates are more characteristic of the preschool years rather than the toddler stage.
C. Toddlers are in Erikson's stage of autonomy versus shame and doubt, characterized by negative behaviors as they assert independence and develop autonomy.
D. Demonstrations of sexual curiosity become more pronounced during the preschool years and are less typical in the toddler stage.
Correct Answer is B
Explanation
A. The primary purpose of pancreatic enzymes is to aid digestion, not to improve metabolism.
B. Pancreatic enzymes are used to help digest fats, proteins, and carbohydrates, which is essential for children with cystic fibrosis who have pancreatic insufficiency.
C. Enzymes should be taken with meals and snacks, not before them.
D. Enzymes should be taken with or just before meals to ensure they work effectively during digestion.
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