A healthcare professional is preparing to administer a transfusion of a unit of packed red blood cells (PRBCs) for a client who has severe anemia. Which of the following interventions will prevent an acute hemolytic reaction?

Correct Answer: B

Rationale: Obtaining help from another healthcare professional to confirm the correct client and blood product is crucial in preventing an acute hemolytic reaction during a blood transfusion. This reaction occurs due to ABO or Rh incompatibility. Verifying the correct client and blood product reduces the risk of administering the wrong blood type, which could lead to a life-threatening reaction. It is essential to follow strict protocols to ensure patient safety during blood transfusions.

Correct Answer: C

Rationale: The correct answer is Acetaminophen (Choice C). Acetaminophen, especially in high doses, can increase the risk of bleeding in clients taking Warfarin. It can potentiate the anticoagulant effect of Warfarin, leading to an increased risk of bleeding. Nurses should monitor clients closely for signs of bleeding when these two medications are used together.

Correct Answer: A

Rationale: Hyponatremia is a potential adverse effect of hydrochlorothiazide due to its diuretic action. Hydrochlorothiazide is a thiazide diuretic that can cause sodium and water loss, potentially leading to hyponatremia. Monitoring for symptoms such as weakness, confusion, and muscle cramps can help detect hyponatremia early.

Correct Answer: C

Rationale: The correct answer is C. Erythromycin should be taken on an empty stomach with a full glass of water to increase absorption. Taking it with a full glass of milk (Choice A) is incorrect. Avoiding direct sunlight (Choice B) is not related to erythromycin use. Taking an antacid before the medication (Choice D) can interfere with its absorption.

Correct Answer: B

Rationale: The correct answer is B) You should stop taking this medication if you develop a rash. This teaching point is crucial because ceftriaxone is a cephalosporin antibiotic known to cause severe hypersensitivity reactions, including rashes. It is important for the client to be aware that the development of a rash could indicate a serious allergic reaction that requires immediate medical attention. By instructing the client to discontinue the medication and seek medical help if a rash occurs, the nurse is promoting patient safety and preventing potentially life-threatening complications. Options A, C, and D are incorrect: A) You may develop a cough while taking this medication. While cough can be a side effect of some medications, it is not a common or significant side effect of ceftriaxone. This information is not a priority teaching point for this specific medication. C) This medication can be given orally. Ceftriaxone is not available for oral administration; it is typically administered intravenously or intramuscularly. Providing this information could lead to medication errors or confusion for the client. D) This medication may cause your urine to turn yellow. While ceftriaxone can cause a harmless side effect of yellow discoloration of urine due to the excretion of the drug, this is a minor concern compared to the potential serious allergic reactions associated with this medication. It is not a critical teaching point compared to the need to monitor for and respond to a rash. In an educational context, understanding the side effects, administration routes, and monitoring parameters of medications are crucial for nurses to ensure safe and effective patient care. Teaching clients about medication-specific information empowers them to take an active role in their treatment and promotes adherence to prescribed regimens.