ATI Nur 270 Pediatrics GI GU Exam | Nurselytic

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ATI Nur 270 Pediatrics GI GU Exam Questions

Extract:

A 12-year-old child receiving a blood transfusion after a motor vehicle crash, reports trouble breathing 15 minutes after starting, temperature 101.2°F up from 98.8°F


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, specifically a febrile non-hemolytic reaction or a possible transfusion-related acute lung injury (TRALI). Stopping the transfusion is crucial to prevent further harm to the child. Checking the apical pulse (choice
B) may be important but not the priority in this situation. Giving diphenhydramine (choice
A) may be indicated for allergic reactions, but it's essential to stop the transfusion first. Collecting a urine sample (choice
D) is not a priority in this emergent situation.

Extract:


Question 2 of 5

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