Practice Question
A nurse is caring for a client who is receiving a blood transfusion at 125 mL/hr and develops a hemolytic reaction. Which of the following actions should the nurse perform?
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Correct Answer:
Infuse 0.9% sodium chloride IV.
Rationale:
💉 A hemolytic transfusion reaction is a medical emergency caused by incompatible blood, leading to destruction of transfused red blood cells.
💉 The first step is to immediately stop the transfusion and keep the IV line open with 0.9% sodium chloride to maintain venous access and prevent clotting of the line.
💉 Normal saline is the only compatible fluid for blood transfusions; it is used to flush the line and maintain circulation while further treatment is initiated.
💉 Administering an antipyretic may help with fever but is not the priority—the transfusion must be stopped first and the line kept patent.
💉 Simply reducing the rate will not stop the reaction, and positioning changes are not relevant for treating hemolysis.
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This question is from PREDICTOR ASSESSMENT-6.8.2025 which contains 173 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI EXIT Exam(s)
- Domain: RN ATI Comprehensive Predictor Exam(s)~2025
- Answer Choices: 4