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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Standard precautions are not sufficient for preventing the spread of mumps, which requires additional measures.
B. Contact precautions are used for infections spread through direct or indirect contact, but mumps requires different precautions.
C. Mumps is spread via respiratory droplets, so droplet precautions are necessary to prevent transmission.
D. Airborne precautions are not required for mumps, as it is not transmitted via airborne routes.
Correct Answer is ["4"]
Explanation
To determine the correct dosage, the nurse should use the formula: (desired dose / amount on hand) x volume = amount to administer. In this case, it would be (320 mg / 400 mg) x 5 mL. This simplifies to 0.8 x 5 mL, which equals 4 mL.
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