Practice Quiz

CEN Practice Exam (Certified Emergency Nurse)

Category - Shock

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You began administering blood to a patient 45 minutes ago. You enter the room to assess the patient and find the patient flushed and dyspneic. On auscultation the patient has crackles in the bases of both lungs. What complication of blood transfusion therapy is the patient most likely experiencing?
  1. Hypovolemia
  2. Transfusion reaction
  3. Fluid overload
  4. Bacteremia
Explanation
Answer: C - The patient is displaying all the symptoms of fluid overload. If the patient were experiencing a transfusion reaction, there would also be itching and a rash. Bacteremia would lead to the patient having a fever. Fluid overload is the best answer due to the crackles in the lungs indicating fluid has become a problem.
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