Which action would the nurse take when administering a transfusion of 2 units of packed red blood cells Prbcs to a client quizlet?
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react to, causing the development of anti-bodies. The unit being Rh+ 4.This client does not have antigens A or B on the blood. Administration of these types would cause an antigen/antibody reaction within the client's body, resulting in a massive hemolysis of the client's blood and death." D. "You must immediately report any symptoms like chills, nausea, or itching." RATIONAL: Although the nurse can identify objective signs of a transfusion reaction (changes in vital signs, flushing, cyanosis, coughing, and to some extent, dyspnea), the nurse might not be able to tell if the client is experiencing subjective symptoms (chills, nausea, chest pain, headache, backache, muscle pain). Subjective signs are important clues, and the nurse must be aware of them. Recommended textbook solutions
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Which is the correct nursing procedure for administering a blood transfusion?To administer a blood transfusion, healthcare professionals place a thin needle into a vein—usually located in the arm or hand—which allows blood to move from a bag, through a rubber tube, and into the patient's vein through the needle. Nurses must closely monitor their patient's vital signs throughout this procedure.
What actions do you take in a blood transfusion reaction?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).
What are the important nursing actions and considerations in giving blood transfusion?Nursing Interventions. Verify doctor's order. ... . Check for cross matching and typing. ... . Obtain and record baseline vital signs.. Practice strict asepsis.. At least 2 licensed nurse check the label of the blood transfusion. ... . Warm blood at room temperature before transfusion to prevent chills.. Identify client properly.. |
