A nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?
Hemolysis
Urticaria
Fever
Fluid overload
The Correct Answer is B
A. Hemolysis: This is a severe reaction to blood transfusion involving the destruction of red blood cells and requires different management strategies.
B. Urticaria: Diphenhydramine is used to prevent or treat urticaria (hives), which is a mild allergic reaction and can be managed with antihistamines.
C. Fever: This is typically managed with antipyretics or by addressing the underlying cause rather than antihistamines.
D. Fluid overload: This condition requires management with diuretics and careful monitoring of fluid intake rather than antihistamines.
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Related Questions
Correct Answer is B
Explanation
A. Explain the risks and benefits of the procedure: This is the responsibility of the provider, not the nurse. The nurse can provide information but does not explain the risks and benefits.
B. Witness the client's signature: This is the correct action for the nurse regarding informed consent. The nurse's role is to witness the client’s signature after the provider has explained the procedure.
C. Obtain the client's consent: The nurse does not obtain consent; this is the provider's responsibility. The nurse’s role is to witness the signing of the consent form.
D. Explain the procedure to the client if they do not understand: This is the responsibility of the provider who has the expertise to explain the procedure. The nurse should ensure that the client has had the opportunity to ask questions and understands the information provided by the provider.
Correct Answer is B
Explanation
A. Educator: This role involves teaching clients about their health conditions, treatments, and self-care, but it does not primarily focus on protecting the client or supporting their decisions.
B. Advocate: This role involves protecting the client's rights, supporting their decisions, and ensuring that their needs and preferences are respected in the healthcare setting.
C. Caregiver: This role involves providing direct care and performing tasks related to the client's well-being, but it does not focus specifically on advocacy or protecting client rights.
D. Manager: This role involves organizing and overseeing care, coordinating with other healthcare professionals, and ensuring that resources are used effectively, rather than focusing on advocacy and client protection.
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