Answer to Question 1
B, C, D, E
Headache, back pain, rash, and fever are findings that indicate a reaction to the transfusion; the transfusion should be stopped. The nurse should then infuse saline solution into the line to keep the intravenous line patent. Report of chills correlates to the infusion of the chilled blood. The transfusion is not stopped; the patient is given a blanket.
Answer to Question 2
A, B, C
A primary concern in a patient with uncontrolled vomiting includes monitoring hydration status. Intake and output and daily weights are indicators of hydration status and should be assessed. Prochlorperazine maleate (Compazine) should not be given with alcohol intake. Because the pa-tient has a history of alcoholism, it would be best to administer an antiemetic that is not con-traindicated with possible alcohol intake. Diphenoxylate atropine (Lomotil) is an antidiarrheal, not an antiemetic. Lasix is a powerful loop diuretic that would exacerbate the patient's volume depletion.