{"id":137541,"date":"2024-09-12T20:25:59","date_gmt":"2024-09-12T20:25:59","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=137541"},"modified":"2024-09-12T20:26:01","modified_gmt":"2024-09-12T20:26:01","slug":"a-nurse-is-assisting-with-monitoring-a-client-who-is-receiving-a-unit-of-packed-rbcs","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/12\/a-nurse-is-assisting-with-monitoring-a-client-who-is-receiving-a-unit-of-packed-rbcs\/","title":{"rendered":"A nurse is assisting with monitoring a client who is receiving a unit of packed RBCs"},"content":{"rendered":"\n<p>A nurse is assisting with monitoring a client who is receiving a unit of packed RBCs. Which of the following findings indicates the client is experiencing a hemolytic transfusion reaction?<\/p>\n\n\n\n<p>A.<br>Temperature 38.8\u00b0 C (101.8\u00b0 F)<\/p>\n\n\n\n<p>B.<br>Straw-colored urine<\/p>\n\n\n\n<p>C.<br>Apical pulse rate 58\/min<\/p>\n\n\n\n<p>D.<br>Blood pressure 158\/92 mm Hg<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>A. Temperature 38.8\u00b0 C (101.8\u00b0 F)<\/strong>.<\/p>\n\n\n\n<p>A hemolytic transfusion reaction occurs when the recipient&#8217;s immune system attacks the transfused red blood cells (RBCs), which are recognized as foreign. This reaction is often due to a mismatch between the donor and recipient blood types, leading to the destruction (hemolysis) of the transfused RBCs.<\/p>\n\n\n\n<p>Here\u2019s a breakdown of the symptoms and why temperature elevation is the key indicator:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Temperature 38.8\u00b0 C (101.8\u00b0 F)<\/strong>: A fever is a classic sign of a hemolytic transfusion reaction. The rise in temperature occurs as the immune system reacts to the foreign RBCs. This temperature increase can be sudden and is typically one of the first signs noticed by healthcare providers. The fever results from the systemic inflammatory response triggered by the hemolysis of the RBCs.<\/li>\n\n\n\n<li><strong>Straw-colored urine<\/strong>: This finding is more characteristic of a different type of reaction called a transfusion-related acute lung injury (TRALI) or could be a normal finding without any specific indication of a hemolytic reaction. In the case of hemolytic reactions, the urine may appear darker, possibly even reddish or brown, due to the release of hemoglobin from destroyed RBCs.<\/li>\n\n\n\n<li><strong>Apical pulse rate 58\/min<\/strong>: Bradycardia (slow heart rate) is not typically associated with hemolytic transfusion reactions. Instead, tachycardia (increased heart rate) is more common due to the stress on the body from the reaction.<\/li>\n\n\n\n<li><strong>Blood pressure 158\/92 mm Hg<\/strong>: Elevated blood pressure can be seen in various reactions or conditions but is not specific to hemolytic transfusion reactions. Hemolytic reactions are more commonly associated with fever, chills, and changes in urine color rather than blood pressure changes alone.<\/li>\n<\/ol>\n\n\n\n<p>In summary, a fever is a key indicator of a hemolytic transfusion reaction, as it reflects the systemic inflammatory response triggered by the destruction of transfused RBCs. Immediate recognition and intervention are critical to managing such reactions effectively.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is assisting with monitoring a client who is receiving a unit of packed RBCs. Which of the following findings indicates the client is experiencing a hemolytic transfusion reaction? A.Temperature 38.8\u00b0 C (101.8\u00b0 F) B.Straw-colored urine C.Apical pulse rate 58\/min D.Blood pressure 158\/92 mm Hg The correct answer and Explanation is : The correct [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137541","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137541","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137541"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137541\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137541"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137541"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137541"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}