MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A client receiving a blood transfusion reports shortness of breath, appears anxious, and has a pulse of 125 beats/minute. What is the best action for the nurse to take after stopping the transfusion and awaiting further instruction from the health care provider?
A
Ensure there is an oxygen delivery device at the bedside.
B
Place the client in a recumbent position with legs elevated.
C
Remove the intravenous line.
D
Administer prescribed PRN anti-anxiety agent.
Explanation: 

Detailed explanation-1: -Which nursing intervention takes highest priority when caring for a newly admitted client who’s receiving a blood transfusion? Instructing the client to report any itching, chest pain, or dyspnea. Rationale: This will help the nurse take immediate action incase a reaction happens during a transfusion.

Detailed explanation-2: -(Rapid transfusion of cool blood put the client at risk for cardiac dysrhythmias). After terminating the transfusion during a reaction, what action should the nurse immediately be taken next? an amniocentesis will be ordered.

Detailed explanation-3: -The client is to receive a unit of packed red blood cells. What is the nurse’s first action? Verify that the client has signed a written consent form. Albumin is important for the maintenance of fluid balance within the vascular system.

There is 1 question to complete.