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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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 A
Explanation
A. Testing urine for ketones is crucial during illness because it helps in early detection of diabetic ketoacidosis, which can be life-threatening.
B. Withholding insulin is dangerous during illness, as the body may require more insulin, not less.
C. While it is important to notify the provider if blood glucose levels are elevated, monitoring for ketones takes precedence to prevent complications.
D. Limiting fluid intake is not recommended, as fluids are essential for maintaining hydration and helping to manage blood glucose levels during illness.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.