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NCLEX-PN Exam Practice

Category - Shock

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You determine that the patient you are caring for is having a transfusion reaction. You stop the blood immediately. Which action would you take next?

Notify a physician.
Determine the patient’s white blood cell count.
Administer normal saline at KVO.
Administer normal saline bolus.

Explanation

Answer: C - The nurse should start normal saline at KVO for this patient to keep the IV open. Then the nurse should notify the physician of the reaction. The physician may order a white blood cell count or normal saline bolus, but the nurse should not initiate either without an order.

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NCLEX-PN Exam Practice

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NCLEX-PN Exam Practice

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