MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is administering a blood transfusion to a client over 4 hours. After 2 hours, the client reports chills and has a fever of 101
A
The client is having decrease in tissue perfusion from a shock state.
B
The client is having an allergic reaction to the blood.
C
The client is experiencing vascular collapse.
D
The client is having a febrile nonhemolytic reaction.
Explanation: 

Detailed explanation-1: -Blood components must be transfused within 4 hours of issue. If the transfusion is interrupted for any reason, administration must be discontinued after 4 hours even if the transfusion is not complete.

Detailed explanation-2: -The nurse monitors a client receiving a blood transfusion. The nurse intervenes if which observation is made? Blood must be run slowly at first (no faster than 2 to 5 mL/min for the first 15 minutes) If no reaction, the nurse regulates the blood transfusion to the prescribed rate.

Detailed explanation-3: -A nurse is preparing to administer 2 units of packed RBCs to an older adult client. Which of the following actions should the nurse take? If possible, the nurse should wait 2 hr to elapse after the administration of the first unit of packed RBCs before beginning to infuse the second unit.

There is 1 question to complete.