A client receiving a blood transfusion suddenly develops chills, fever, and lower back pain. The nurse suspects a transfusion reaction. What is the nurse's priority action?

Stop the blood transfusion immediately.

Notify the blood bank to request a new blood unit.

Administer antipyretics to manage the client's fever.

Place the client in a supine position with legs elevated.

Answer and Explanation

The Correct Answer is A

A) Stopping the blood transfusion immediately is the nurse's priority action if a transfusion reaction is suspected. This helps prevent further infusion of the potentially incompatible or problematic blood product.

B) Notifying the blood bank is essential to report the suspected transfusion reaction and to facilitate investigation and documentation. However, stopping the transfusion is the first step.

C) Administering antipyretics may help manage the client's fever, but it is not the nurse's priority action when a transfusion reaction is suspected.

D) Placing the client in a supine position with legs elevated is not a priority action when a transfusion reaction is suspected. The priority is to stop the transfusion and assess the client's vital signs and symptoms.

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Correct Answer is D

Explanation

A. A-negative (A-) and AB-positive (AB+) are incompatible with B-positive (B+), as individuals with B+ blood can only receive blood from B or O types.
B. A-positive (A+) and AB-negative (AB-) are incompatible for the same reason.
C. AB-negative (AB-) and AB-positive (AB+) are not suitable donors for B-positive (B+) recipients.
D. O-negative (O-), B-positive (B+), and O-positive (O+) are all compatible with B-positive (B+), making this the correct choice.

A. Pre-medicate the client with antihistamines before the transfusion. B. Administer the blood transfusion rapidly to minimize exposure. C. Ensure that the blood product is warmed before administration. D. Monitor the client's vital signs frequently during the transfusion.

Correct Answer is A

Explanation

A) Correct: Pre-medicating the client with antihistamines before the transfusion can help prevent or minimize allergic transfusion reactions in clients with a history of severe allergies. Antihistamines block histamine release, reducing the risk of allergic symptoms.

B) Incorrect: Administering the blood transfusion rapidly is not a preventive measure for allergic transfusion reactions. In fact, rapid administration may increase the risk of adverse reactions.

C) Incorrect: Warming the blood product before administration is important to prevent hypothermia but is not directly related to preventing allergic transfusion reactions.

D) Incorrect: Monitoring the client's vital signs during the transfusion is a standard practice, but it is not the primary intervention for preventing allergic transfusion reactions. Pre-medication with antihistamines is a more targeted approach.

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A client receiving a blood transfusion suddenly develops chills, fever, and lower back pain. The nurse suspects a transfusion reaction. What is the nurse's priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with blood type B-positive (B+) requires a blood transfusion. Which blood types are compatible with this client for a crossmatch?

Correct Answer is D

Explanation

A client has a history of severe allergic reactions and is scheduled to receive a blood transfusion. What intervention should the nurse implement to prevent an allergic transfusion reaction in this client?

Correct Answer is A

Explanation

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