ATI Med Surg Exam 2 | Nurselytic

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ATI Med Surg Exam 2 Questions

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Question 1 of 5

A nurse is caring for a client who is receiving one unit of packed red blood cells (RBCs) due to intraoperative blood loss. The client reports chills and back pain, and their blood pressure is 80/64 mm Hg. What should be the nurse's first action?

Correct Answer: A

Rationale: If a client reports chills and back pain during a blood transfusion, and their blood pressure is 80/64 mm Hg, the nurse's first action should be to stop the infusion of blood. These symptoms could indicate an acute intravascular hemolytic transfusion reaction, and the greatest risk to the client is injury from receiving additional blood.

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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