A client's transfusion of packed red blood cells has been infusing for 2 hours. She is complaining of a raised, itchy rash and shortness of breath. She is wheezing, anxious, and very restless. The…

The correct answer is D. Allergic transfusion reaction. (A) A hemolytic transfusion reaction would be characterized by fever, chills, chest pain, hypotension, and tachypnea. (B) Fever, chills, and headaches are indicative of a febrile transfusion reaction. (C) Circulatory overload is manifest by dyspnea, cough, and pulmonary…

Physiological Integrity: Pharmacological and Parenteral Therapies

Question

A client's transfusion of packed red blood cells has been infusing for 2 hours. She is complaining of a raised, itchy rash and shortness of breath. She is wheezing, anxious, and very restless. The nurse knows these assessment findings are congruent with:

Options

AHemolytic transfusion reaction
BFebrile transfusion reaction
CCirculatory overload
DAllergic transfusion reaction

How the community answered

(42 responses)

A
5% (2)
B
2% (1)
C
2% (1)
D
90% (38)

Explanation

(A) A hemolytic transfusion reaction would be characterized by fever, chills, chest pain, hypotension, and tachypnea. (B) Fever, chills, and headaches are indicative of a febrile transfusion reaction. (C) Circulatory overload is manifest by dyspnea, cough, and pulmonary crackles. (D) Urticaria, pruritus, wheezing, and anxiety are indicative of an allergic transfusion reaction.

Topics

#allergic transfusion reaction#urticaria#wheezing#transfusion complications

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