Answer to Question 1
B
If a blood reaction is suspected, the nurse stops the blood transfusion immediately.
The nurse should take the client's vital signs, but the initial action should be to stop the blood transfusion.
The nurse should not slow the rate of blood flow. The nurse should stop the blood transfusion.
The nurse should first stop the blood transfusion. The nurse notifies the physician and blood bank personnel after the transfusion is stopped.
Answer to Question 2
B
Confusion is a symptom of heatstroke, along with delirium, nausea, muscle cramps, visual dis-turbances, giddiness, and even incontinence, as well as hot, dry skin.
The most important sign of heatstroke is hot, dry skin, not diaphoresis. Victims of heatstroke do not sweat because of severe electrolyte loss and hypothalamic malfunction.
A normal temperature is between 36C to 38C. With heatstroke, the client's body temperature may reach as high as 45C.
The heart rate is increased with heatstroke, not decreased.
Mosquito drinking blood
Physiological Factors Affecting Blood Pressure
A hot stone placed under the client’s neck.
Blood Distribution
Velocity of Blood Flow
The Body's Response to Blood Loss