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Practice Question

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills, headache, low-back pain, and a feeling of "tightness" in their chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?

Answer Choices:

Correct Answer:

Acute hemolytic

Rationale:

■ The symptoms—chills, headache, low back pain, and chest tightness—indicate acute hemolytic transfusion reaction, the most serious type.

■ This results from incompatible blood types, leading to RBC destruction and intravascular hemolysis.

■ It can cause renal failure, hypotension, and death if untreated.

■ Immediate intervention involves stopping the transfusion and initiating emergency care.

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This question is from ATI RN Capstone Comprehensive Assessment A (I) which contains 75 questions.

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From Exam
ATI RN Capstone Comprehensive Assessment A (I)

75 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: ATI CAPSTONE
  • Answer Choices: 4
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