MC If you suspect a possible hemolytic reaction, what nursing ...

[Sportsfan2111]

MC If you suspect a possible hemolytic reaction, what nursing interventions do you carry out after stopping the blood transfusion?
 
  1) Return the blood bag to the laboratory.
  2) Obtain frequent urine specimens.
  3) Send a blood specimen to the laboratory for detection of intravascular hemolysis.
  4) Start another unit of blood to prevent further hemolysis
  A. 1, 2, 3
  B. 2, 3, 4
  C. 2, 3 only
  D. All of the above

Question 2

For a client with a transparent film dressing, a nurse assesses that there is white, opaque fluid accumulation and the surrounding tissue is inflamed. The nurse should:
 
  A. Culture the wound
  B. Leave the current dressing in place
  C. Apply gauze over the top of the dressing
  D. Remove and stretch the film tighter over the wound

[xoxo123]

Answer to Question 1

A

Answer to Question 2

A
A, B, C, and D. Should the fluid accumulation take on a white, opaque appearance with erythema of the surrounding tissue, one must assume an infectious process is under way, and the dressing should be removed and a wound culture obtained.

[Sportsfan2111]

Both answers were spot on, thank you once again

[xoxo123]

Great! Please up vote