A nurse is monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has urticaria and is wheezing. Which of the following types of transfusion reactions should the nurse suspect?
Febrile
Circulatory overload
Acute hemolytic
Anaphylactic
The Correct Answer is D
The correct answer is D. Anaphylactic reactions are characterized by urticaria, wheezing, hypotension, and bronchospasm. They are caused by an IgE-mediated hypersensitivity to plasma proteins in the donor blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should observe the client using the glucometer to assess their technique and accuracy. This is an example of a return demonstration, which is an effective teaching method for psychomotor skills.
Correct Answer is A
Explanation
The mother and the baby should have matching identification bands to prevent abduction or mix-up.
The mother should not remove her security band, as this can compromise her identity and safety.
The mother should not take her baby to the lobby or other public areas, as this can expose the baby to infection or harm.
The mother should use a bassinet or crib to transport her baby to the nursery, as this can prevent falls or injuries.
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