While receiving a transfusion of packed red blood cells, a school-aged child begins to experience itchy skin, hiver a tonsillectomy. What should the nurse do first for this child?
Obtain a blood culture.
Stop the transfusion.
Slow the transfusion rate.
Provide a diuretic as prescribed.
The Correct Answer is B
A. Obtaining a blood culture is important but is not the immediate priority when a transfusion reaction is occurring.
B. Stopping the transfusion is the first step in managing a transfusion reaction to prevent further exposure to the allergen or irritant causing the symptoms.
C. Slowing the transfusion rate might not be sufficient if a reaction is occurring; stopping it is crucial.
D. Providing a diuretic is not relevant to the management of an acute transfusion reaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Wrist restraints might not be appropriate for a very young infant as they may not adequately prevent the infant from reaching the mouth.
B. Jacket restraints are generally used for older children and are not appropriate for very young infants.
C. Elbow restraints are typically used for infants following oral surgeries to prevent them from putting their hands to their mouth, which is important in the case of cleft lip and palate repairs.
D. Mummy restraints are more commonly used for procedural immobilization rather than for postoperative care.
Correct Answer is C
Explanation
A. While heart failure can occur in many congenital heart defects, it is not the most specific condition commonly associated with tetralogy of Fallot.
B. Asthma is not typically associated with tetralogy of Fallot. It is a respiratory condition that does not have a direct link to congenital heart defects.
C. Tetralogy of Fallot is associated with polycythemia due to chronic hypoxemia. The body produces more red blood cells in response to low oxygen levels, leading to an increased hematocrit.
D. While pulmonary hypertension can occur in congenital heart defects, tetralogy of Fallot is more directly associated with polycythemia as a result of the decreased blood flow to the lungs.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.