Practice Question
A nurse is administering platelets to a client who reports having lower back pain and feeling chilled and itchy. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Stop the infusion.
Rationale:
✨First priority in transfusion reaction is to immediately stop the infusion to prevent further administration of the causative agent.
✨Symptoms such as back pain, chills, and itching are consistent with an acute hemolytic or allergic transfusion reaction.
✨Halting the infusion prevents worsening of the client’s immune response and tissue damage.
✨The IV line should be kept open with normal saline using new tubing while further steps are initiated.
✨This action ensures safety while the provider and blood bank are notified for follow-up management.
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This question is from Custom NAS 2700 Week 7 which contains 20 questions.
More Questions from This Exam
A nurse in a provider's office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition?
Answer Choices:
A. Anorexia
B. Knuckle deformity
C. Low-grade fever
D. Weight loss
A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?
Answer Choices:
A. Ask the client to read a Snellen chart.
B. Listen to the client's speech.
C. Ask the Client to identify scented aromas.
D. Ask the client to clench his teeth.
A nurse at a provider's office is instructing a client who is scheduled for an outpatient barium swallow. Which of the following statements by the client indicates an understanding of the teaching?
Answer Choices:
A. “I can have clear liquids up to 4 hours before the test.”
B. “I should expect light-colored stools after the procedure.”
C. “I will require an (V) catheter for this test."
D. “I need to bring a snack because I'll be here all day."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 4