The Nurse Is Caring for a Client Who Has a History

question 38

Multiple Choice

The nurse is caring for a client who has a history of a transfusion-related acute lung injury (TRALI) and is to receive a transfusion of packed red blood cells (PRBCs) . Which of the following actions should the nurse take to decrease the risk for TRALIforthis client?

• A)Infuse the PRBCs slowly over 4 hours.
• B)Transfuse only leukocyte-reduced PRBCs.
• C)Administer the scheduled oral diuretic before the transfusion.
• D)Give the PRN dose of antihistamine before starting the transfusion.

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Definitions:

Adrenocorticotropic Hormone

A hormone produced by the pituitary gland that stimulates the adrenal cortex.

Epidemiological Survey

A research method used to investigate the patterns, causes, and effects of health and disease conditions in defined populations.

Social Support

The perception or reality of care, assistance, and encouragement received from others, which can affect an individual's health and wellbeing.

Psychological Health

A condition of good health where a person acknowledges their own capabilities, manages the usual pressures of life effectively, contributes productively at work, and can make a positive impact on their community.