A patient with a history of a transfusion-related acute lung injury (TRALI) is to receive a transfusion of packed red blood cells (PRBCs). Which action by the nurse will decrease the risk for TRALI for this patient?
a. Infuse the PRBCs slowly over 4 hours.
b. Transfuse only leukocyte-reduced PRBCs.
c. Administer the scheduled diuretic before the transfusion.
d. Give the PRN dose of antihistamine before the transfusion.
ANS: B
TRALI is caused by a reaction between the donor and the patient leukocytes that causes pulmonary inflammation and capillary leaking. The other actions may help prevent respiratory problems caused by circulatory overload or by allergic reactions, but they will not prevent TRALI.
You might also like to view...
The nurse is reviewing the laboratory and diagnostic test findings of a client diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following would the nurse expect to find?
A) Elevated serum sodium levels B) Decreased serum osmolarity C) Decreased urine sodium levels D) Elevated urine calcium levels
A woman complains of burning on urination and increased frequency. The patient has a history of frequent urinary tract infections (UTIs) and is going out of town in 2 days
To treat the infec-tion quickly, the nurse would expect the healthcare provider to order: a. aztreonam [Azactam]. b. fosfomycin [Monurol]. c. trimethoprim/sulfamethoxazole [Bactrim]. d. vancomycin [Vancocin].
Sandra is an RN who is working with you. Sandra is from the local pool/registry and you are the staff LPN or LVN at the facility. You see Sandra charting her medications and treatments before she administers them
Choose the best therapeutic communication technique to use when approaching Sandra. A) "Why are you doing that?" B) "I am concerned about the legality and safety of charting before giving medications, Sandra." C) "You know it is wrong to chart before giving the medications." D) "You really shouldn't do that, Sandra."
Nonsignificant findings indicate that the null hypothesis is:
A) Retained B) Rejected C) Proved D) Wrong