The nurse is monitoring a patient who is receiving a blood transfusion. Which finding(s) would lead the nurse to stop the infusion? (Select all that apply.)
a. Report of chills
b. Headache
c. Back pain
d. Report of a rash
e. Fever
B, C, D, E
Headache, back pain, rash, and fever are findings that indicate a reaction to the transfusion; the transfusion should be stopped. The nurse should then infuse saline solution into the line to keep the intravenous line patent. Report of chills correlates to the infusion of the chilled blood. The transfusion is not stopped; the patient is given a blanket.
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1. "You will notice excess facial and body hair." 2. "You will notice a pinpoint red rash on your chest." 3. "Your hair will start to come out in clumps." 4. "Your breasts will become enlarged and swollen."
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The nurse is instructing the parents of a school-aged child about how to care for their child's eye. Which of the following conditions would the nurse identify as resolving by itself without the use of antibiotics?
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