The nurse is preparing to administer a blood transfusion to a ...

[audragclark]

The nurse is preparing to administer a blood transfusion to a child with a severe anemia. Which type of transfusion reaction can be avoided by the nurse's assessment?
 
  1. Allergic
  2. Hemolytic
  3. Febrile
  4. Septic

Question 2

Which rationale should the nurse include in the teaching session, related to infant iron deficiency anemia, when a parent asks why it is inappropriate to switch from formula to cow's milk prior to 1 year of age? Select all that apply.
 
  1. Cow's milk is a poor source of iron.
  2. The child may be exposed to an antibiotic in processed milk.
  3. Cow's milk has a high fat content.
  4. In young children, cow's milk can lead to bleeding from the gastrointestinal tract.
  5. Cow's milk contains no vitamin C, which is necessary for iron absorption.

[owenfalvey]

Answer to Question 1

2
Explanation:
1. Allergic reactions are due to a protein in the donated blood to which the child reacts. The nurse cannot prevent this type of reaction.
2. A hemolytic reaction results from mismatched blood, a preventable error. This error is most likely to occur at the bedside if the nurse does not carefully identify the unit of blood and the patient.
3. A febrile reaction is related to contamination of blood. The nurse has no control over this type of reaction.
4. Septic is another name for a febrile reaction and is not preventable by the nurse.

Answer to Question 2

1, 4
Explanation:
1. This information is correct.
2. This would not be a reason for delaying the entry of milk into the diet.
3. Because there are low-fat varieties of cow's milk, this would not be a reason to delay introducing it.
4. This information is correct.
5. While the amount of vitamin C in milk is limited, this is not the reason for delaying introducing cow's milk into the child's diet.