A nurse is administering Packed Red Blood Cells (PRBC) to a client who reports having lower back pain and feeling chilled and itchy.
Which of the following actions should the nurse take first?

Return the platelet bag and tubing to the blood bank.

Stop the infusion.

Notify the provider.

Collect a urine sample from the client.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Returning the platelet bag and tubing to the blood bank is not the immediate action to take when a client reports having lower back pain and feeling chilled and itchy during a PRBC transfusion. These symptoms could indicate a transfusion reaction, which is a serious complication that requires immediate intervention.

Choice B rationale

Stopping the infusion is the first action the nurse should take when a client reports symptoms of a transfusion reaction. This is because continuing the transfusion could worsen the reaction and potentially lead to more serious complications.

Choice C rationale

While notifying the provider is an important step in managing a transfusion reaction, it is not the first action the nurse should take. The nurse should first stop the infusion to prevent further exposure to the blood product.

Choice D rationale

Collecting a urine sample from the client is not the immediate action to take when a client reports having lower back pain and feeling chilled and itchy during a PRBC transfusion. These symptoms could indicate a transfusion reaction, which requires immediate intervention.

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Correct Answer is A

Explanation

Choice A rationale

Tremors are a common side effect of terbutaline. Terbutaline is a medication used to inhibit uterine contractions in preterm labor. It is a beta-adrenergic agonist, and stimulation of the beta-adrenergic receptors can lead to side effects such as tremors.

A. Decreased muscle mass B. Thickened vertebral disks C. Increased force of isometric contraction D. Reduced chest width

Correct Answer is A

Explanation

Choice A rationale

Decreased muscle mass is a common age-related musculoskeletal change. As people age, they tend to lose muscle mass due to changes in muscle fiber and decreased physical activity. This can lead to weakness and decreased mobility.

Choice B rationale

Thickened vertebral disks are not typically an age-related change. Instead, the disks often become thinner and less flexible with age, which can lead to conditions like degenerative disk disease.

Choice C rationale

Increased force of isometric contraction is not an age-related musculoskeletal change. In fact, both isometric and isotonic muscle strength tend to decrease with age.

Choice D rationale

Reduced chest width is not typically an age-related musculoskeletal change. However, changes in posture and spinal curvature can affect the shape and function of the chest.

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A nurse is administering Packed Red Blood Cells (PRBC) to a client who reports having lower back pain and feeling chilled and itchy.Which of the following actions should the nurse take first?

Nursing Test Bank

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A nurse is administering Packed Red Blood Cells (PRBC) to a client who reports having lower back pain and feeling chilled and itchy.
Which of the following actions should the nurse take first?