Practice Question
A nurse is monitoring a client receiving a blood transfusion. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Stop the blood transfusion.
Rationale:
🔷 Stopping the transfusion is the priority when a transfusion reaction is suspected, as it prevents further infusion of potentially harmful or incompatible blood products.
🔷 Immediate cessation minimizes the risk of complications like hemolysis or anaphylaxis, which can quickly become life-threatening.
🔷 This action allows time for the nurse to assess the client's condition and notify the provider for further evaluation.
🔷 It also ensures that the reaction can be properly documented and investigated, including sending the blood bag and tubing to the lab.
🔷 Rapid intervention is essential to maintain patient safety and begin supportive treatment if needed.
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This question is from HESI-RN College Exit~2024 which contains 61 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI-Exit Exam(s)
- Domain: HESI Exit Exam(s)~2024
- Answer Choices: 5