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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Budesonide is an inhaled corticosteroid used for long-term control, not for acute attacks.

B. Albuterol is a short-acting beta agonist (SABA) used as a first-line treatment for immediate relief during an acute asthma attack.

C. Fluticasone is an inhaled corticosteroid for long-term control and prevention, not for acute relief.

D. Montelukast is a leukotriene receptor antagonist used for long-term control and prevention, not for acute asthma attacks.

A. Gradually allowing the child to adapt to the lighted surroundings B. Informing the child that the procedure has been completed. C. Checking pedal pulses frequently. D. Encouraging the child to talk about the procedure

Correct Answer is C

Explanation

A. Allowing the child to adapt to the surroundings is not as critical as monitoring for complications.

B. Informing the child about the completion of the procedure is important for emotional support but does not address immediate post-procedure care needs.

C. Checking pedal pulses frequently is crucial after cardiac catheterization via the femoral artery to monitor for complications such as reduced blood flow or clot formation at the insertion site.

D. Encouraging the child to talk about the procedure is supportive but not the primary concern immediately following the procedure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

Correct Answer is B

Explanation

A 5-year-old child has a cardiac catheterization via the femoral artery. Which assessment would be most important to complete after the procedure?

Correct Answer is C

Explanation

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