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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. The DTaP vaccine is recommended at 15-18 months, so it would be appropriate to administer it to a 1-year-old child.
B. The rotavirus vaccine is typically given earlier, before the child reaches 1 year of age.
C. The varicella (chickenpox) vaccine is given between 12-15 months of age, so it is appropriate for a 1-year-old.
D. The HPV vaccine is usually administered starting at age 11-12 years, not at 1 year.
E. The MMR (measles, mumps, rubella) vaccine is recommended between 12-15 months of age, making it appropriate for a 1-year-old.
Correct Answer is A,B,C,D,E
Explanation
A. Trust vs. Mistrust: This stage occurs from birth to approximately 18 months of age. During this period, infants learn to trust their caregivers to meet their needs. If their needs are consistently met, they develop a sense of trust; otherwise, they may develop mistrust.
B. Autonomy vs. Shame and Doubt: From 18 months to 3 years, children begin to assert their independence. If caregivers encourage self-sufficient behavior, children become more autonomous; if they're overly criticized, they may develop feelings of shame and doubt.
C. Initiative vs. Guilt: Between the ages of 3 and 5, children start to initiate activities and assert control over their world through play and social interactions. Successful initiation leads to a sense of purpose, while failure results in feelings of guilt.
D. Industry vs. Inferiority: From 6 years to puberty, children compare themselves to their peers. They develop a sense of pride and accomplishment through their successes, or they may feel inferior if they do not measure up.
E. Identity vs. Role Confusion: During adolescence, teens explore different roles and ideas to form a personal identity. A well-established identity leads to the ability to stay true to oneself, while failure to establish an identity results in role confusion.
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