ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of heart failure who is receiving a unit of packed red blood cells (PRBCs). The client's blood pressure is 110/68 mmHg, and the pulse is 90 beats/min. One hour after the transfusion was initiated, the client reports shortness of breath and back pain. Which action should the nurse take first?
Correct Answer: C
Rationale: Shortness of breath and back pain during transfusion suggest a hemolytic reaction. Stopping the transfusion and starting saline prevents further reaction, taking priority over other actions.
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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