A client undergoing a blood transfusion reports sudden onset urticaria, pruritus, and flushing.
What type of transfusion reaction is the client likely experiencing based on these symptoms?

Transfusion-related acute lung injury (TRALI)

Bacterial contamination.

Febrile nonhemolytic reaction.

Allergic reaction.

Answer and Explanation

The Correct Answer is D

Allergic reaction.

Choice A rationale:

Transfusion-related acute lung injury (TRALI) usually presents with acute respiratory distress, not urticaria, pruritus, and flushing.

It is characterized by the sudden onset of dyspnea, hypoxemia, and pulmonary edema.

Choice B rationale:

Bacterial contamination of blood products can lead to sepsis, but the symptoms described in the question (urticaria, pruritus, and flushing) are not indicative of bacterial contamination.

Symptoms of bacterial contamination would typically include fever, chills, and signs of infection.

Choice C rationale:

Febrile nonhemolytic reactions can cause fever, chills, and rigors, but they are not associated with urticaria, pruritus, or flushing.

Choice D rationale:

An allergic reaction, also known as a hypersensitivity reaction, can manifest with symptoms like urticaria (hives), pruritus (itching), and flushing.

These symptoms are indicative of an allergic response to components in the blood product, such as plasma proteins or allergens.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C"]

Explanation

Choice A rationale:

Fever is a potential sign of a delayed transfusion reaction.

Delayed transfusion reactions can occur several days after a blood transfusion and may present with fever as a symptom.

This can be indicative of hemolysis or an immune response to the transfused blood.

Choice C rationale:

Jaundice is another sign that the nurse should monitor for delayed transfusion reactions.

Jaundice can be a result of hemolysis, where the red blood cells are destroyed, leading to an increase in bilirubin levels in the bloodstream.

Choice B rationale:

Increased urine output is not typically associated with delayed transfusion reactions.

Delayed reactions are more likely to manifest as fever, jaundice, or other signs of hemolysis.

Choice D rationale:

Hypertension is not a common sign of delayed transfusion reactions.

These reactions are more likely to present with symptoms related to the destruction of red blood cells, such as fever and jaundice.

Choice E rationale:

Decreased oxygen saturation is not a typical sign of delayed transfusion reactions.

It is important to monitor oxygen saturation during a blood transfusion, but this is more relevant to immediate transfusion reactions, such as transfusion-related acute lung injury (TRALI)

A. "I'll obtain post-transfusion laboratory tests.” B. "I'll return any unused blood product to the blood bank.” C. "I'll remove the IV catheter without flushing it.” D. "I'll educate the patient about the procedure.”

Correct Answer is A

Explanation

Choice A rationale:

The nurse should obtain post-transfusion laboratory tests immediately after the transfusion to assess the patient's response to the blood transfusion.

These tests may include a complete blood count (CBC) to evaluate hemoglobin and hematocrit levels.

Choice B rationale:

Returning any unused blood product to the blood bank is not the immediate action needed after a transfusion.

Post-transfusion laboratory tests and patient assessment take precedence.

Choice C rationale:

Removing the IV catheter without flushing it immediately after the transfusion is not appropriate.

The IV site should be maintained for a period after the transfusion to ensure there are no adverse reactions, and the catheter should be flushed according to the facility's protocol.

Choice D rationale:

Educating the patient about the procedure is important but should be done before the transfusion, not immediately after.

Immediate post-transfusion care involves monitoring the patient and obtaining necessary laboratory tests.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client undergoing a blood transfusion reports sudden onset urticaria, pruritus, and flushing.What type of transfusion reaction is the client likely experiencing based on these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who has just received a blood transfusion.Select all the signs or symptoms the nurse should monitor for delayed transfusion reactions.

Correct Answer is ["A","C"]

Explanation

A client has completed a blood transfusion, and the nurse is responsible for post-transfusion care.What action should the nurse take immediately after the transfusion?

Correct Answer is A

Explanation

A nurse is preparing to administer a blood transfusion to a patient. What should the nurse consider when selecting an intravenous site for the transfusion?

A nurse is assessing a patient who is receiving a blood transfusion.The nurse observes that the patient has developed fever, chills, back pain, chest pain, dyspnea, and jaundice.What type of transfusion reaction is the patient most likely experiencing?

A client with a bleeding disorder requires a treatment that promotes clotting and stops bleeding.Which medication can the nurse suggest for this purpose?

A client with blood type B+ needs a blood transfusion.Which of the following blood types can the nurse safely administer to this client?

A client with blood type O+ is scheduled for surgery. The nurse is reviewing the compatibility of blood types for potential transfusion during the procedure. Which of the following blood types can be safely transfused to this client?

A nurse is educating a patient about blood transfusion alternatives.Which alternative to blood transfusion may be considered for patients with symptomatic anemia and ongoing bleeding?

A client who received a blood transfusion develops symptoms such as epistaxis, hematuria, and menorrhagia 7 days after the transfusion.What complication could be responsible for these symptoms?

A patient is experiencing thrombocytopenia and needs a blood product to increase their platelet count.Which blood product should the nurse administer to address this condition?

A client undergoing a blood transfusion reports sudden onset urticaria, pruritus, and flushing.
What type of transfusion reaction is the client likely experiencing based on these symptoms?