The nurse suspects the patient is having a blood transfusion reaction. What is the FIRST action the nurse should do?
Stop the transfusion
Call the blood bank to report the reaction
Administer oxygen
Call the physician
The Correct Answer is A
A. Stop the transfusion: The immediate priority is to halt the infusion to prevent further exposure to the offending blood product.
B. Call the blood bank to report the reaction: This is done after the transfusion is stopped and the patient is stabilized.
C. Administer oxygen: Oxygen administration may be required if the patient shows signs of respiratory distress but is not the immediate first action.
D. Call the physician: Notifying the physician is important but only after stopping the transfusion and assessing the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Urticaria: Urticaria involves raised, itchy hives, not respiratory symptoms.
B. Allergic rhinitis: Characterized by itchy, red eyes, sneezing, and a runny nose, often triggered by seasonal allergens like pollen.
C. Eczema: Eczema involves dry, itchy skin lesions, not respiratory symptoms.
D. Contact dermatitis: Contact dermatitis results from direct skin contact with allergens or irritants, not airborne allergens.
Correct Answer is C
Explanation
A. Gingivitis refers to inflammation of the gums, typically causing redness and bleeding, not a white, creamy coating.
B. Xerostomia (dry mouth) can occur in HIV/AIDS but does not typically cause a white, creamy coating.
C. Candidiasis; a white, creamy coating on the tongue and buccal membranes is characteristic of oral candidiasis (thrush), a common fungal infection in immunocompromised individuals, including those with AIDS.
D. Halitosis refers to bad breath and is not associated with a white coating on the tongue.
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