Physiological Integrity第 65 / 120 题
The LPN/LVN is monitoring a client receiving a blood transfusion. Which finding suggests a transfusion reaction and requires stopping the infusion?
a.Fever, chills, and flank pain shortly after the start
b.Blood pressure of 120/70 mmHg
c.Temperature unchanged from baseline
d.Report of feeling comfortable
解析
Fever, chills, and flank pain suggest a hemolytic transfusion reaction; the transfusion must be stopped and the RN notified immediately. Stable vital signs and comfort are reassuring. Early recognition prevents serious harm.
免费刷完整 120 道题库 — 无需注册。
同考点相关题目
- A client with diabetes reports shakiness, sweating, and dizziness. The blood glucose is 55 mg/dL. What should the LPN/LVN do first?
- The LPN/LVN is caring for a client after a total hip replacement. Which position should be maintained to prevent dislocation?
- A client with chronic obstructive pulmonary disease has an oxygen order. Which oxygen flow is generally most appropriate?
- A client is admitted with dehydration. Which finding supports this diagnosis?
- The LPN/LVN is caring for a client with a nasogastric tube for decompression. Which finding requires prompt attention?
- A client with a new colostomy has a stoma that is dark purple. What does this finding indicate?