ATI RN
VATI ATI Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings indicates a possible transfusion reaction?
Correct Answer: A
Rationale:
Correct
Answer: A (Temperature of 38.3°
C)
Rationale:
1. Elevated temperature (>1°C increase) is a common sign of a transfusion reaction.
2. It can indicate an immune response or bacterial contamination in the blood product.
3. Monitoring temperature is crucial for early detection of transfusion reactions.
4. Other vital signs (heart rate, blood pressure, oxygen saturation) may remain stable initially.
5. Prompt action is needed to prevent serious complications.
Summary:
B: Heart rate and blood pressure are within normal range and may not indicate a transfusion reaction.
D: Oxygen saturation is also within normal limits and not specific to a transfusion reaction.
E, F, G: These options are not provided, but an elevated temperature is a key indicator to monitor during a blood transfusion.
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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