The nurse is assisting with the care of a client who is receiving a unit of packed RBCs.
Exhibits
Complete the following sentence by using the lists of options. Exhibit 1
The client has manifestations of an
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as evidenced by the client’s
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The correct answer and Explanation is :
To accurately complete the sentence for a client receiving packed RBCs, it’s essential to understand the potential manifestations that might occur. Given that the client is receiving packed red blood cells (RBCs), it is important to monitor for any signs of transfusion reactions or complications. Here’s a structured way to complete the sentence based on common transfusion-related manifestations:
Completed Sentence
“The client has manifestations of an allergic reaction as evidenced by the client’s rash and itching.”
Explanation
Allergic Reaction: An allergic reaction to blood transfusions occurs when the client’s immune system reacts to proteins in the donor blood. This type of reaction can be mild or severe. The most common symptoms include rash, itching, and hives. In more severe cases, symptoms can progress to include shortness of breath, wheezing, and even anaphylaxis.
Signs and Symptoms:
- Rash: This can appear as small red spots or bumps on the skin and is often one of the earliest signs of an allergic reaction. The rash may be localized or widespread.
- Itching: This is often accompanied by the rash and can range from mild to severe. Itching occurs because of the body’s release of histamines in response to the allergen in the transfused blood.
Management: When an allergic reaction is suspected, the nurse should:
- Stop the transfusion immediately and notify the healthcare provider.
- Administer antihistamines or other medications as prescribed to alleviate symptoms.
- Monitor the patient closely for any progression of symptoms or development of more severe reactions.
- Document the reaction and the interventions taken.
By promptly identifying and addressing an allergic reaction, the nurse helps prevent further complications and ensures the client’s safety during blood transfusions.