Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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The nurse is administering a second unit of packed red blood cells to a patient who was admitted with Hemoglobin of 4.2. After 15 minutes of infusion, the nurse suspects the patient is having a reaction to the packed red blood cells. What symptoms would most likely be evidence of a hemolytic reaction?
  1. Vomiting and diarrhea
  2. Coughing up blood tinged sputum, shortness of breath
  3. Blood pressure of 130/80, heart rate of 106, temperature of 99.0 F
  4. Shortness of breath, fever of 100.4 F, new onset of back pain
Explanation
Answer: D - The symptoms that would mostly likely be the result of a Hemolytic Reaction would be shortness of breath, fever, and new onset of back pain. Other symptoms may include chest pain and hypotension. Vomiting and diarrhea are not associated with a Hemolytic Reaction.
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