Practice Question
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills. headache, low-back pain, and a feeling of "tightness" in their chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?
Answer Choices:
Correct Answer:
Acute hemolytic reaction
Rationale:
🔴 Acute hemolytic transfusion reaction is a medical emergency and typically presents with chills, fever, low-back pain, chest tightness, and hypotension.
🔴 It results from ABO incompatibility, triggering immune destruction of donor RBCs.
🔴 Hemoglobinuria and renal failure can occur if not treated promptly.
🔴 The nurse should stop the transfusion immediately, maintain IV access with saline, and notify the provider.
🔴 This type of reaction can occur within minutes of starting the transfusion.
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This question is from RN ATI Capstone Proctored Post-Assessment-2025 which contains 83 questions.
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From Exam
RN ATI Capstone Proctored Post-Assessment-2025
83 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4