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
Rationale:
♦ Fever, chills, low-back pain, and chest tightness are hallmark signs of acute hemolytic reaction.
♦ This is a medical emergency due to RBC destruction from ABO incompatibility.
♦ Symptoms typically appear within the first 15 minutes of transfusion.
♦ Immediate discontinuation of transfusion and emergency care is warranted.
♦ Other reactions (allergic or febrile nonhemolytic) do not typically present with chest or lumbar pain.
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This question is from RN Capstone Proctored Comprehensive Assessment Exam which contains 74 questions.
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From Exam
RN Capstone Proctored Comprehensive Assessment Exam
74 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4