Author Question: A patient had an acute intravascular hemolytic reaction to a blood transfusion. After discontinuing ... (Read 53 times)

daltonest1984 · **on:** Jul 22, 2018

A patient had an acute intravascular hemolytic reaction to a blood transfusion. After discontinuing the blood transfusion, what is the nurse's next action?

a. Run normal saline through the existing tubing.
b. Start normal saline at TKO rate using new tubing.
c. Discontinue the IV catheter.
d. Return the blood to the blood bank.

Question 2

The nurse must be alert to possible negative responses to meditation. Patients who have reacted negatively to meditation have most often experienced which one of the following?

a. Aggressive behaviours
b. Delusions
c. Insomnia
d. Loss-of-control sensations

beccamahon · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
The nurse should first attach new tubing and begin running in normal saline at a rate to keep the vein open, in case any sorts of medications need to be delivered through that IV site. The existing tubing should not be used because that would infuse the blood in the tubing into the patient. It is necessary to preserve the IV catheter in place for IV access to treat the patient. After the patient has been assessed and stabilized, the blood can be returned to the blood bank.

Answer to Question 2

D

Feedback
A A benefit of most biobehavioural therapies, such as meditation, is that it reduces irritability. Aggression is an unlikely response.
B Delusions are not a result of biobehavioural therapies.
C Many biobehavioural therapies, such as meditation, reduce insomnia.
D A person who has a strong fear of losing control, or who has experienced sensations of loss of control, may perceive meditation as a form of mind control and thus may be resistant to learning the technique. Some patients are sensitive to meditation and require shorter sessions than the typical 15 to 20 minutes.