A nurse remains with a client to observe for any adverse reactions after initiating a transfusion of packed RBCs. The client becomes apprehensive and tachycardic. reporting headache and low back pain. The nurse should recognize that these findings indicate which of the following transfusion reactions?

Hemolytic

Allergic

Febrile

Bacterial

Answer and Explanation

The Correct Answer is A

A. Hemolytic: Acute hemolytic transfusion reactions can occur quickly after starting a transfusion and present with symptoms such as fever, chills, headache, low back pain, tachycardia, and apprehension. It is a serious reaction caused by the destruction of transfused red blood cells.

B. Allergic: Allergic reactions to blood transfusions typically present with hives, itching, and anaphylaxis, not low back pain or tachycardia.

C. Febrile: Febrile reactions involve fever and chills but not typically headache or back pain.

D. Bacterial: Bacterial contamination of blood can cause fever and chills, but not specifically the symptoms of headache and low back pain described.

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

Explanation

A. Mood changes: Deficiency can cause neurological changes, including depression and mood swings.

B. Mobility challenges: Neuropathy and muscle weakness can lead to mobility issues.

C. Shortness of breath: Anemia from B12 deficiency reduces oxygen delivery, causing dyspnea.

D. Visual deficit: Neurological impairment from B12 deficiency can affect the optic nerve, leading to visual disturbances.

E. Sleep disturbance: This is not a typical manifestation of B12 deficiency and is more likely related to other factors.

A. Hemolytic B. Allergic C. Febrile D. Bacterial

Correct Answer is A

Explanation

B. Allergic: Allergic reactions to blood transfusions typically present with hives, itching, and anaphylaxis, not low back pain or tachycardia.

C. Febrile: Febrile reactions involve fever and chills but not typically headache or back pain.

D. Bacterial: Bacterial contamination of blood can cause fever and chills, but not specifically the symptoms of headache and low back pain described.

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a vitamin B12 deficiency about the potential manifestations of their condition if it is left untreated. Which of the following manifestations should the nurse include in the teaching?

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

Explanation

Correct Answer is A

Explanation

A nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. The client reports chills and back pain, and the client's blood pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?

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A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include?

A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen minutes following the start of the transfusion, the nurse notes that the client is febrile, with chills and red-tinged urine. Which of the following transfusion reactions should the nurse suspect?

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