RN ADULT MED SURG PRACTICE NCLEX EXAM QUESTIONS AND ANSWERS 100% CORRECT!!!

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? - ANSWER Assess for hemolytic transfusion reaction When can a febrile transfusion reaction happen after a client received blood products? - ANSWER Commonly occurs 2 hr after Name the findings of febrile transfusion reaction - ANSWER 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? - ANSWER Heart rate change from 88/min to 120/min. Client appears flushed When can an "allergic" transfusion reaction happen? - ANSWER During or up to 24 hrs after What would the nurse notice when a client has allergic transfusion reaction to blood products? - ANSWER Mild itching, urticari