The nurse is administering packed red-blood cells to a child with ...

[rlane42]

The nurse is administering packed red-blood cells to a child with sickle-cell disease (SCD). The nurse knows that a transfusion reaction will most likely occur
 
  1. six hours after the transfusion isgiven.
  2. within the first 20 minutes ofadministration of the transfusion.
  3. at the end of the administrationof the transfusion.
  4. never;children with SCD do not havereactions.

Question 2

A school-age child with hemophilia falls on the playground and goes to the nurse's office with superficial bleeding above the knee. The nurse should
 
  1. apply a warm moist pack to the area.
  2. perform some passive range ofmotion to the affected leg.
  3. apply pressure to the area for at least15 minutes.
  4. keep the affected extremity in adependent position.

[katara]

Answer to Question 1

Answer:2
Rationale:Blood reactions can occur as soon as the blood transfusion begins or within the first 20 minutes. The nurse should remain with the child the first 20 minutes of the transfusion.

Answer to Question 2

Answer:3
Rationale:If a hemophiliac child experiences a bleeding episode,superficial bleeding should be controlled by applying pressure to the area for at least 15 minutes.Ice should be applied,not heat. The extremity should be immobilized and elevated,so passive range of motion and keeping the extremity in a dependent position would not be an appropriate intervention at this time.

[rlane42]

Excellent

[cpetit11]

Wow, this really help