A patient is receiving a transfusion of packed RBCs. Ten minutes after the infusion begins the patient reports low back pain and a headache. Which action should the nurse take first?
a. Stop the blood infusion.
b. Notify the physician STAT.
c. Start the new 0.9% normal saline infusion.
d. Prepare a new 0.9% normal saline infusion.
ANS: A
Low back pain and headache can be symptoms of a transfusion reaction. If symptoms of a reaction are noted, the blood is immediately stopped so that no more blood is infused into the patient. B. The physician should be notified after the transfusion is stopped. C. D. A new normal saline infusion with new tubing is prepared and started to keep the vein patent should medications need to be administered as ordered. New tubing must be used so that not one more drop of blood enters the patient.
You might also like to view...
The nurse manager often gives preferential treatment to one of the staff nurses on the unit. This behavior is an example of:
1. Difficulty managing one?s interpersonal relationships. 2. Lack of conflict management skills. 3. Inability to transform a work group into a team. 4. Lack of group planning skills.
What diagnostic test should the nurse anticipate as the priority for a patient admitted with chest pain to determine coronary artery status?
1. coronary angiography 2. stress electrocardiography 3. echocardiography 4. radionuclide testing
0.0401 x 0.0202 = _______________
Fill in the blank(s) with correct word
Which physical assessment approach is appropriate during the newborn assessment process? Select all that apply
1) Inspecting the skin 2) Palpating the abdomen 3) Percussing the reflexes 4) Auscultating heart and lung sounds 5) Providing a cool environment to decrease sleepiness