{"id":139432,"date":"2024-09-17T09:25:27","date_gmt":"2024-09-17T09:25:27","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=139432"},"modified":"2024-09-17T09:25:29","modified_gmt":"2024-09-17T09:25:29","slug":"a-client-receiving-a-blood-transfusion-suddenly-develops-chills","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/17\/a-client-receiving-a-blood-transfusion-suddenly-develops-chills\/","title":{"rendered":"A client receiving a blood transfusion suddenly develops chills"},"content":{"rendered":"\n

A client receiving a blood transfusion suddenly develops chills, fever, and lower back pain. The nurse suspects a transfusion reaction. What is the nurse’s priority action?
A.
Stop the blood transfusion immediately.<\/p>\n\n\n\n

B.
Notify the blood bank to request a new blood unit.<\/p>\n\n\n\n

C.
Administer antipyretics to manage the client’s fever.<\/p>\n\n\n\n

D.
Place the client in a supine position with legs elevated.<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

The correct answer is A. Stop the blood transfusion immediately<\/strong>.<\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n

Blood transfusion reactions can range from mild to life-threatening, and the symptoms described \u2014 chills, fever, and lower back pain \u2014 are classic signs of a hemolytic transfusion reaction<\/strong>, one of the most severe reactions. In this situation, the nurse must act swiftly to prevent further complications.<\/p>\n\n\n\n

Priority Action:<\/h4>\n\n\n\n

The first and most important step when a transfusion reaction is suspected is to stop the blood transfusion immediately<\/strong>. Continuing the transfusion could lead to additional red blood cell destruction, worsening the client’s condition. Stopping the transfusion helps to minimize exposure to the potentially incompatible blood and further immune system activation.<\/p>\n\n\n\n

Reasons for Other Options:<\/h4>\n\n\n\n
    \n
  • B. Notify the blood bank to request a new blood unit<\/strong>: This step is necessary but comes after stopping the transfusion. The blood bank needs to investigate the cause of the reaction by cross-matching the current unit and reviewing the client\u2019s blood type and antibody status.<\/li>\n\n\n\n
  • C. Administer antipyretics to manage the client\u2019s fever<\/strong>: Treating the fever is secondary to stopping the transfusion. Fever is a symptom of the reaction, and addressing the root cause (the incompatible transfusion) takes precedence over symptomatic treatment.<\/li>\n\n\n\n
  • D. Place the client in a supine position with legs elevated<\/strong>: This action is more appropriate for managing shock or hypotension. However, immediate stopping of the transfusion is the priority before positioning the patient or treating hypotension.<\/li>\n<\/ul>\n\n\n\n

    Additional Steps:<\/h4>\n\n\n\n

    After stopping the transfusion, the nurse should maintain IV access with normal saline to prevent further complications, notify the healthcare provider, and document the reaction. The blood bank should also be informed to facilitate investigation and prevent future reactions.<\/p>\n\n\n\n

    Timely action can prevent complications such as renal failure, disseminated intravascular coagulation (DIC), or even death, making it critical to follow these steps.<\/p>\n","protected":false},"excerpt":{"rendered":"

    A client receiving a blood transfusion suddenly develops chills, fever, and lower back pain. The nurse suspects a transfusion reaction. What is the nurse’s priority action?A.Stop the blood transfusion immediately. B.Notify the blood bank to request a new blood unit. C.Administer antipyretics to manage the client’s fever. D.Place the client in a supine position with […]<\/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-139432","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139432","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=139432"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139432\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=139432"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=139432"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=139432"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}