MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient develops a hemolytic reaction to a blood transfusion. Which priority actions will the nurse perform? (Select all that apply.)
A
Administer diphenhydramine.
B
Begin iron chelation therapy.
C
Obtain appropriate blood specimens.
D
Collect a urine sample to detect hemoglobin.
E
Document the reaction according to policy.
Explanation: 

Detailed explanation-1: -Some symptoms may resolve with little or no treatment. However, respiratory distress, high fever, hypotension, and hemoglobinuria may indicate a more serious reaction. All cases of suspected reactions should prompt immediate discontinuation of the transfusion and notification of the blood bank and treating clinician.

Detailed explanation-2: -As soon as you suspect a transfusion reaction: Stop the transfusion immediately and activate emergency procedures if required. Check and monitor the patient’s vital signs. Maintain intravenous (IV) access (do not flush the existing line and use a new IV line if required).

Detailed explanation-3: -Immediately discontinue the transfusion while maintaining venous access for emergency management. Anticipate hypotension, acute kidney injury AKI), and disseminated intravascular coagulation (DIC). More items •15-Mar-2023

There is 1 question to complete.