ATI Nur 270 Pediatrics GI | Nurselytic

Questions 49

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ATI Nur 270 Pediatrics GI Questions

Extract:

A 12-year-old child receiving a blood transfusion after a motor vehicle crash, reporting trouble breathing 15 minutes after starting, with a temperature of 101.2°F (38.4°C) up from 98.8°F (37.1°C).


Question 1 of 5

The nurse is administering a blood transfusion to a 12-year-old child after a motor vehicle crash. About 15 minutes after beginning the transfusion, the child reports trouble breathing. The child's temperature is now 101.2°F (38.4°C) up from a baseline of 98.8°F (37.1°C). Which action would the nurse do next?

Correct Answer: C

Rationale: The correct answer is C: Stop the transfusion. The child's symptoms of trouble breathing and increased temperature suggest a possible transfusion reaction, such as transfusion-related acute lung injury (TRALI) or hemolytic reaction. Stopping the transfusion is crucial to prevent further harm to the child. Giving diphenhydramine would not address the underlying issue of a transfusion reaction. Checking the apical pulse or collecting a urine sample are not the immediate priorities in this situation.

Extract:


Question 2 of 5

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