The client who is suspected of having an acute hemolytic ...

[mmm]

The client who is suspected of having an acute hemolytic transfusion reaction would receive all of the following emergency treatments. Which one should the nurse initiated FIRST?
 
  a. Start an IV of normal saline.
  b. Administer emergency drugs intravenously as ordered.
  c. Maintain an airway.
  d. Stop the transfusion.

Question 2

When blood products are prescribed for a client, they must be administered within how many minutes after being obtained from the laboratory refrigerator?
 
  a. 10 c. 45
  b. 30 d. 60

[ErinKing]

Answer to Question 1

D
Delayed hemolytic reactions are usually undetected and untreated. Emergency treatment is initiated for acute hemolytic and anaphylactic reactions. Nursing care includes carefully assessing baseline information, such as vital signs prior to transfusion, and checking the client's type and crossmatch information and that of the scheduled transfusion product with another nurse. The nurse also monitors the client for any signs of transfusion reaction and stops the transfusion if a reaction occurs.

Answer to Question 2

B
Blood must be handled gently so the cells are not damaged. Administering blood must occur within 30 minutes of obtaining it from the laboratory refrigerator.

[mmm]

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[kthug]

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