MC If you suspect a possible hemolytic reaction, what nursing interventions do you carry out after stopping the blood transfusion?
1) Return the blood bag to the laboratory.
2) Obtain frequent urine specimens.
3) Send a blood specimen to the laboratory for detection of intravascular hemolysis.
4) Start another unit of blood to prevent further hemolysis
A. 1, 2, 3
B. 2, 3, 4
C. 2, 3 only
D. All of the above
Question 2
For a client with a transparent film dressing, a nurse assesses that there is white, opaque fluid accumulation and the surrounding tissue is inflamed. The nurse should:
A. Culture the wound
B. Leave the current dressing in place
C. Apply gauze over the top of the dressing
D. Remove and stretch the film tighter over the wound