The nurse is teaching a client about a planned blood transfusion and assures the client that close monitoring is planned. What should the nurse instruct the client to report during this transfusion?
1. The need to void
2. Onset of stomach cramps
3. Joint pain
4. Chills
Answer: 4
1. It would be considered a good sign if the client needed to void, as that would indicate there was blood flow to the kidneys.
2. The bowels moving indicate that there is blood flow to the gastrointestinal tract, and is a good sign.
3. Joint pain would be unrelated to a blood transfusion.
4. Chills indicate that the client might be experiencing an allergic reaction to the transfusion, and the client should be instructed to notify the nurse immediately.
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