Practice Question
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates the client is experiencing an allergic reaction?
Answer Choices:
Correct Answer:
Onset of urticarial.
Rationale:
✅Urticaria (hives) during a transfusion is a classic sign of a mild allergic reaction to plasma proteins in the donor blood.
✅The immune system recognizes foreign proteins as antigens, leading to histamine release that causes skin manifestations such as itching, rash, and wheals.
✅The nurse should stop the transfusion immediately and notify the provider, keeping the IV line open with normal saline.
✅Monitoring for progression to more severe symptoms like wheezing or anaphylaxis is essential.
✅Early recognition and management help prevent life-threatening transfusion complications.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exit Exam(s)
- Domain: Exit Exam(s)~2025
- Answer Choices: 4