Author Question: A patient complains of chills, dizziness, and feeling hot during a blood transfusion. What are the ... (Read 56 times)

stevenposner · **on:** Jul 22, 2018

A patient complains of chills, dizziness, and feeling hot during a blood transfusion. What are the nurse's most appropriate actions? (Select all that apply.)

a. Check the patient's vital signs.
b. Stop the blood transfusion.
c. Slow the rate of infusion.
d. Notify the physician and blood bank.

Question 2

A patient in the intensive care unit requires mechanical ventilation, a wound VAC system, patient-controlled analgesia, and an intravenous infusion device. Which safety precaution should the nurse implement in the health care setting?

a. Using two-pronged plugs
b. Never operating equipment without pre-vious instruction
c. Using an extension cord to accommodate plugs for all the equipment
d. Never using equipment without having another nurse assist

princessflame2016 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A, B, D
STOP (do not slow down) the transfusion immediately even when you just suspect a reaction. Remain with the patient, observing signs and symptoms and monitoring vital signs as often as every 5 minutes. Immediately notify the health care provider or emergency response team and the blood bank.

Answer to Question 2

B
To avoid accidents, do not operate medical equipment without adequate instruction. Decrease the incidence of electrical hazards by using a three-pronged grounded plug. Many types of equipment have both electric outlet and battery power sources. Extension cords are a common cause for falls. If an extension cord must be utilized, it should be placed next to the wall to decrease tripping. Using equipment without having another nurse assist is safe behavior.