ATI Fundamental Exams | Nurselytic

Questions 85

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Question 1 of 5

A nurse is administering platelets to a client who reports having lower back pain and feeling chilled and itchy. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: The correct answer is D: Stop the infusion. Lower back pain, feeling chilled, and itching are symptoms of a transfusion reaction. Stopping the infusion is the priority to prevent further complications. Collecting a urine sample (
A) is not relevant to the client's immediate symptoms. Returning the platelet bag (
B) can be done after stopping the infusion. Notifying the provider (
C) can be done after ensuring the client's safety.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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