Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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A client diagnosed with severe anemia is receiving packed red blood cells. Around fifteenminutes after the infusion is started, the client complains of itching, lower back pain, shortness of breath, and development of hives on the chest area. The client has chills and fever. Which of the following should the nurse do first?
  1. Slow down the rate of infusion
  2. Stop the infusion
  3. Place the client in high Fowler’s position
  4. Call the physician
Explanation
Answer: B - Fever, chills, itching, lower back pain, and development of hives minutes after infusing the packed red blood cells all suggest that the client is having a transfusion reaction. The best nursing action is to immediately stop the infusion before calling the physician for an order of antihistamine.
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