Therapy & Blood Administration NCLEX 2024 Reviewed Questions And Answers

Therapy & Blood Administration NCLEX 2024 Reviewed Questions And Answers

1. A nurse is assisting with caring for a client who will receive a unit of blood. Just before the infusion, it is most important for the nurse to assess the client's: 1.Vital signs 2. Skin color 3. Oxygen saturation 4. Latest Hct level: 1. 2. A client who is receiving a blood transfusion rings the call bell for the nurse. When entering the room, the nurse notes that the client is flushed, dyspneic, and complaining of generalized itching.The nurse interprets that the client is experiencing: 1. Bacteremia 2. Fluid overload 3. Hypovolemic shock 4. A transfusion reaction: 4 3. A client who was receiving a blood transfusion has experienced a transfusion reaction.The nurse sends the blood bag that was used for the client to which of the following areas? 1.The pharmacy 2 / 11 2.The laboratory 3.The blood bank 4.The risk-management department: 3. 4. A nurse takes a client's temperature before giving a blood transfusion.The temperature is 100 degrees F orally.The nurse reports the finding to the RN and anticipates that which of the following actions will take place? 1.The transfusion will begin as prescribed 2.The blood will be held and the physician will be notified 3.The transfusion will begin after the administration of an antihistamine 4.The transfusion will begin after the administration of 600 mg of acetaminophen: 2 5. A nurse is assisting with caring for a client who has received a transfusion of platelets. The nurse determines that the client is benefiting most from this therapy if the client exhibits which of the following? 1. An increased Hct level 2. An increased Hgb level 3. A decline of the temperature to normal 4. A decrease in oozing from puncture sites and gums: 4