RN ADULT MED SURG PRACTICE NCLEX 2023-2024 EXAM
QUESTIONS WITH COMPLETE SOLUTIONS
What are the findings for acute hemolytic transfusion reaction and time of onset?
chills, fever, low-back pain, tachycardia, flushing, hypotension, chest tightening or pain,
tachypnea, nausea, anxiety, hemoglobinuria, and impending sense of doom. Immediate
or can manifest during subsequent infusions.
What are the nursing actions for hemolytic transfusion reaction?
1. Stop transfusion
2. Remove blood from IV access. AVOID infusing further blood products.
3. Initiate an infusion of 0.9% sodium chloride using new tubing
4. monitory vital signs and fluid status
5. Send the blood bag and admin set to lab for testing
Nurse is preparing to administer packed RBCs to a client who has Hgb of 6 g/dL.
Which is the next action to perform during the first 15 minutes of the transfusion?
Assess for hemolytic transfusion reaction
When can a febrile transfusion reaction happen after a client received blood
products?
Commonly occurs 2 hr after
Name the findings of febrile transfusion reaction
Anti-WBC antibodies, chills (increase of 1·C (2·F) or greater from pretransfusion temp,
flushing, hypotension, tachycardia
A nurse is monitoring a client who began receiving a unit of packed RBCs 10 min
ago. Which of the following findings should the nurse identify as an indication of
a febrile transfusion reaction?
QUESTIONS WITH COMPLETE SOLUTIONS
What are the findings for acute hemolytic transfusion reaction and time of onset?
chills, fever, low-back pain, tachycardia, flushing, hypotension, chest tightening or pain,
tachypnea, nausea, anxiety, hemoglobinuria, and impending sense of doom. Immediate
or can manifest during subsequent infusions.
What are the nursing actions for hemolytic transfusion reaction?
1. Stop transfusion
2. Remove blood from IV access. AVOID infusing further blood products.
3. Initiate an infusion of 0.9% sodium chloride using new tubing
4. monitory vital signs and fluid status
5. Send the blood bag and admin set to lab for testing
Nurse is preparing to administer packed RBCs to a client who has Hgb of 6 g/dL.
Which is the next action to perform during the first 15 minutes of the transfusion?
Assess for hemolytic transfusion reaction
When can a febrile transfusion reaction happen after a client received blood
products?
Commonly occurs 2 hr after
Name the findings of febrile transfusion reaction
Anti-WBC antibodies, chills (increase of 1·C (2·F) or greater from pretransfusion temp,
flushing, hypotension, tachycardia
A nurse is monitoring a client who began receiving a unit of packed RBCs 10 min
ago. Which of the following findings should the nurse identify as an indication of
a febrile transfusion reaction?
