This topic contains a solution. Click here to go to the answer

Author Question: A client has severe anemia and will be receiving blood transfusions. The nurse prepares and be-gins ... (Read 133 times)

colton

  • Hero Member
  • *****
  • Posts: 627
A client has severe anemia and will be receiving blood transfusions. The nurse prepares and be-gins the infusion. Ten minutes after the infusion has begun, the client develops tachycardia, chills, and low back pain.
 
  After stopping the transfusion, the nurse should:
  1. Administer an antipyretic
  2. Begin an infusion of epinephrine
  3. Run normal saline through the blood tubing
  4. Obtain and send a urine specimen to the laboratory

Question 2

The nurse recognizes that the client, based on the imbalance that is present, will require fluid re-placement with isotonic solution. One of the isotonic solutions that may be ordered by the health care provider is:
 
  1. 0.45 saline
  2. Lactated Ringer's
  3. 5 dextrose in normal saline
  4. 5 dextrose in lactated Ringer's



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ryhom

  • Sr. Member
  • ****
  • Posts: 366
Answer to Question 1

ANS: 4
After stopping the blood transfusion, the nurse should obtain and send a urine specimen to the laboratory to determine the presence of hemoglobin as a result of red blood cell (RBC) hemoly-sis. In an acute hemolytic reaction, management of the reaction does not include the administra-tion of an antipyretic. The nurse should be prepared to administer emergency drugs, such as diu-retics, per the health care provider's order. The nurse should not turn off the blood and simply turn on the normal saline that is connected to the Y-tubing set. This would cause blood remaining in the Y-tubing to infuse into the client. Even a small amount of mismatched blood can cause a major reaction. The nurse should run normal saline directly into the IV line (not through the blood tubing).

Answer to Question 2

ANS: 2
Lactated Ringer's is an isotonic solution. 0.45 saline is a hypotonic solution. 5 dextrose in normal saline and 5 dextrose in lactated Ringer's are both hypertonic solutions.




colton

  • Member
  • Posts: 627
Reply 2 on: Jul 23, 2018
Excellent


olderstudent

  • Member
  • Posts: 339
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

Glaucoma is a leading cause of blindness. As of yet, there is no cure. Everyone is at risk, and there may be no warning signs. It is six to eight times more common in African Americans than in whites. The best and most effective way to detect glaucoma is to receive a dilated eye examination.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

Opium has influenced much of the world's most popular literature. The following authors were all opium users, of varying degrees: Lewis Carroll, Charles, Dickens, Arthur Conan Doyle, and Oscar Wilde.

For a complete list of videos, visit our video library