While receiving a unit of packed RBCs, the patient develops chills. itching hives. and a temperature of 1022 F (39.0 C). What is the priority action for the nurse to take?
Stop the transfusion and disconnect the blood tubing.
Slow down the rate of the transfusion.
Notify the health care provider and the blood bank.
Administer intramuscular epinephrine.
The Correct Answer is A
A. The priority action is to stop the transfusion immediately and disconnect the blood tubing to prevent further infusion of the possibly incompatible blood product. The nurse should then maintain IV access with normal saline using new tubing.
B. Slowing the transfusion is inappropriate; any signs of a transfusion reaction require stopping it immediately.
C. The provider and blood bank should be notified, but stopping the transfusion is the priority.
D. Epinephrine is used for anaphylactic reactions with airway involvement. The nurse should assess further before administering it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. ELISA – Used for detecting infections or immune conditions but is not specific for anemia.
B. Schilling Test – Used to diagnose vitamin B12 deficiency and pernicious anemia.
C. Hemoglobin Electrophoresis – Used to diagnose sickle cell anemia and thalassemias by identifying abnormal hemoglobin variants.
D. Western Blot – Used to confirm infections like HIV, not to diagnose anemia.
E. Ferritin and Total Iron-Binding Capacity (TIBC) – Help assess iron status and diagnose iron deficiency anemia.
Correct Answer is B
Explanation
A. Menorrhagia (heavy menstrual bleeding) is more indicative of iron deficiency anemia.
B. Hemolytic anemia involves increased red blood cell destruction, leading to the release of bilirubin and causing jaundice (yellowing of the skin and eyes).
C. Long-term omeprazole use is associated with vitamin B12 deficiency anemia, not hemolytic anemia.
D. Frequent hospital visits for vaso-occlusive crises are characteristic of sickle cell disease, which can cause hemolytic anemia but has a distinct pathophysiology.
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.