A client who is receiving a unit of red blood cells begins to report chest and lower back pain. Which action does the nurse take first?
a. Administer morphine sulfate 1 mg IV.
b. Assess the level of the pain.
c. Stop the transfusion.
d. Reposition the client on the right side.
C
A hemolytic transfusion reaction is caused by blood type or Rh incompatibility. When blood containing antigens different from the client's own antigens is infused, antigen-antibody com-plexes are formed in the client's blood. Manifestations include low back pain and chest pain, and the transfusion should be discontinued immediately. The other actions are not the priority.
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The nurse notes that a newborn has a dry scalp. What should the nurse include when teaching the parents about the care of this newborn? Select all that apply
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