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. Hypertension is not typical for nephrotic syndrome; instead, nephrotic syndrome often presents with low blood pressure or normal blood pressure.
B. Polyuria is more commonly associated with conditions like diabetes mellitus rather than nephrotic syndrome, which typically presents with reduced urine output.
C. Facial edema is a common finding in nephrotic syndrome due to fluid retention and is often noticeable in the periorbital area.
D. Smokey brown urine is indicative of hematuria or glomerulonephritis, not nephrotic syndrome.
Correct Answer is B
Explanation
A. These vital signs are generally within expected ranges for a 2-year-old child.
B. A blood pressure of 79/40 mm Hg is low for a 2-year-old, and the elevated heart rate of 135/min and increased respirations suggest that the child may be experiencing significant distress or volume depletion, requiring immediate attention.
C. These vital signs are within normal limits for a 2-year-old child.
D. Although the blood pressure is on the lower end of normal and heart rate is slightly elevated, these findings are less concerning than option B.
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