A 12-year-old child is undergoing a blood transfusion via an infusion pump and begins to complain of “itchy skin” 15
minutes after the start of the blood unit.
The child appears flushed.
What action should the practical nurse (PN) take?
Stop the transfusion.
Prepared by Dr Paul Mugo
11 Page of 77
Inspect the infusion site.
Apply lotion to the skin.
The Correct Answer is A
Choice A rationale
If a child undergoing a blood transfusion complains of itchy skin and appears flushed, these
could be signs of a transfusion reaction. The PN should stop the transfusion immediately.
Choice B rationale
While inspecting the infusion site is a part of regular monitoring during a transfusion, it would
not typically be the first action in response to symptoms of a possible transfusion reaction.
Choice C rationale
Applying lotion to the skin would not address the underlying issue if the child is experiencing a
transfusion reaction.
Choice D rationale
Checking the vital signs is important, but the first action should be to stop the transfusion if a
reaction is suspected.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is A. Protect skin from sun exposure.
Choice A rationale
Tetracycline is a type of antibiotic that can make your skin more sensitive to the sun. Sun protection is important to prevent sunburn and other skin damage.
Choice B rationale
There is no specific interaction between tetracycline and grapefruit juice. However, it’s always a good idea to check with a healthcare provider about potential food-drug interactions.
Choice C rationale
The use of tampons during menses is not directly related to the use of tetracycline. It’s a personal choice based on comfort and convenience.
Correct Answer is C
Explanation
Choice A rationale
Diminished urinary urgency is an expected outcome of oxybutynin treatment, as the
medication works by relaxing the muscles of the bladder.
Choice B rationale
Reduced urinary frequency is another expected outcome of oxybutynin treatment.
Choice C rationale
Decreased urinary output is not a typical effect of oxybutynin. In fact, oxybutynin is used to
manage symptoms of an overactive bladder, which include frequent urination. Therefore, if the
PN observes decreased urinary output, it could indicate a problem such as urinary retention,
which should be reported to the charge nurse.
Choice D rationale
Less frequent urinary incontinence is an expected outcome of oxybutynin treatment.
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