The client who is suspected of having an acute hemolytic transfusion reaction would receive all of the following emergency treatments. Which one should the nurse initiated FIRST?
a. Start an IV of normal saline.
b. Administer emergency drugs intravenously as ordered.
c. Maintain an airway.
d. Stop the transfusion.
D
Delayed hemolytic reactions are usually undetected and untreated. Emergency treatment is initiated for acute hemolytic and anaphylactic reactions. Nursing care includes carefully assessing baseline information, such as vital signs prior to transfusion, and checking the client's type and crossmatch information and that of the scheduled transfusion product with another nurse. The nurse also monitors the client for any signs of transfusion reaction and stops the transfusion if a reaction occurs.
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What is the name of the effect that occurs when the appraisal is based on recent performance over less recent performance during the evaluation period?
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What will be an ideal response?
The nurse suspects that a neighbor has had a heart attack and calls for an ambulance. Which symptoms alerted the nurse to a suspected heart attack?
1 . Chest pain with radiation to the left arm 2 . Rest relieves the chest pain 3 . Pain radiating to the back 4 . Restlessness A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4