Exam (elaborations)
RN Adult Med Surg Practice NCLEX Exam 2024/2025 Questions With Completed & verified Solutions.
- Course
- Institution
RN Adult Med Surg Practice NCLEX Exam 2024/2025 Questions With Completed & verified Solutions.
[Show more]
Content preview
RN Adult Med Surg Practice NCLEX2024-2025
What are the findings for acute hemolytic transfusion reaction and time of onset? - ANS 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? - ANS 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? - ANS Assess for
hemolytic transfusion reaction
When can a febrile transfusion reaction happen after a client received blood products? - ANS
Commonly occurs 2 hr after
Name the findings of febrile transfusion reaction - ANS 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?
- ANS Heart rate change from 88/min to 120/min.
Client appears flushed
When can an "allergic" transfusion reaction happen? - ANS During or up to 24 hrs after
What would the nurse notice when a client has allergic transfusion reaction to blood products? -
ANS Mild itching, urticaria, flushing
What nursing actions are performed for mild "allergic" reaction to blood products? - ANS Stop
the transfusion
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ALICE12. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now