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Select the appropriate treatment for the following transfusion reactions

A.

Administer 0.9% sodium chloride

B.

Send the blood bag back to the blood bank for analysis.

C.

Stop blood infusion

D.

Administer epinephrine

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

  • Hemolytic Reaction:
    • Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.
    • Send the blood bag back to the blood bank for analysis: To identify the cause of the reaction and prevent future similar incidents.
    • Stop blood infusion: To prevent further hemolysis.
  • Anaphylactic Reaction:
    • Stop blood infusion: To prevent further exposure to the allergen.
    • Administer epinephrine: To treat the severe allergic reaction and prevent anaphylactic shock.
    • Send the blood bag back to the blood bank for analysis: To identify the allergen and prevent future similar incidents.
    • Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.


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Related Questions

Correct Answer is B

Explanation

A. A positive Western blot test indicates an HIV diagnosis, which is expected in a client with HIV and does not require urgent intervention.

B. A CD4-T-cell count of 180 cells/mm³ is significantly low (normal range: 500 to 1500 cells/mm³) and indicates severe immunosuppression, putting the client at increased risk for opportunistic infections, warranting immediate attention from the provider.

C. A platelet count of 150,000/mm³ is at the lower end of the normal range and does not typically require immediate intervention unless there are clinical symptoms associated.

D. A WBC count of 5,000/mm³ is within the normal range and does not indicate a need for urgent intervention.

Correct Answer is D

Explanation

A. Milk and cheese are low in iron content and are not recommended for increasing iron levels in clients with iron-deficiency anemia.

B. Whole grain breads may contain some iron but are not as high in iron as other food sources.

C. Fresh fruits do not provide significant amounts of iron and are not a good source for addressing iron deficiency.

D. Red meat and organ meat are excellent sources of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant sources, making them the best choice for increasing iron intake in clients with iron-deficiency anemia.

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