NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A client is having a blood transfusion reaction. The nurse must do the following in what order of priority from first to last?
Order the Items
Source Container
Notify the attending physician and blood bank.
Complete the appropriate Transfusion Reaction Form(s).
Stop the transfusion.
Keep the I.V. open with normal saline infusion.
Correct Answer: C,D,A,B
Rationale: In a transfusion reaction, the nurse must first stop the transfusion to prevent further infusion of the offending blood. Next, keep the IV line open with normal saline to maintain access and support circulation.
Then, notify the physician and blood bank for further evaluation and management. Finally, complete the transfusion reaction forms to document the incident.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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