A patient develops hemolytic anemia after receiving a dose of penicillin. What action should the nurse realize is indicated for this patient?
1. Administer no further doses of penicillin.
2. Administer a blood transfusion.
3. Provide oxygen.
4. Increase fluids.
Correct Answer: 1
Type II reactions may be stimulated by a drug reaction in which the drug forms an antigenic complex on the surface of a blood cell, stimulating the production of antibodies. The affected cell is then destroyed in the resulting antigen–antibody reaction. Hemolytic anemia is sometimes associated with the administration of drugs such as penicillin. Withdrawal of the drug stops the reaction and cell destruction. A blood transfusion, oxygen, or fluids will not stop the reaction.
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