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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Ferrous sulfate does not aid in vitamin B12 absorption; vitamin B12 requires intrinsic factor for absorption in the ileum.

B. Milk contains calcium, which can inhibit iron absorption, making it a poor choice for administration.

C. Meat and green leafy vegetables are high in iron, and their intake should not be reduced as they help maintain iron levels.

D. Acidic juices (such as orange juice) enhance iron absorption by keeping iron in its more soluble ferrous form.

A. A nurse who works for an insurance company and collects saliva samples from clients who have HIV B. An occupational therapist who works with a client who has HIV C. A personal trainer who works with a client who has HIV D. A phlebotomist who works at a clinic in a community where HIV is prevalent

Correct Answer is D

Explanation

A. Collecting saliva samples does not pose a high risk, as HIV is not transmitted through saliva.

B. Occupational therapists generally do not have exposure to body fluids in a way that increases HIV risk.

C. Personal trainers do not have exposure to clients’ blood or body fluids in a way that increases transmission risk.

D. A phlebotomist handling blood samples has the highest risk of occupational exposure to HIV, particularly through needlestick injuries or improper handling of blood specimens.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge education for a client who will be taking ferrous sulfate orally. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?

Correct Answer is D

Explanation

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The nurse is assessing a Client who presented with fatigue, weakness, and a low hemoglobin level. Which of the following Signs and symptoms would lead the nurse to Suspect hemolytic anemia?

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