Question

When the patient experiences apprehension and urticaria while receiving a blood transfusion, the nurse:

1.) slows the transfusion and takes the patient's vital signs
2.) observes the child for further transfusion reactions
3.) stops the transfusion, allows normal saline solution to run slowly, and notifies the charge nurse
4.) stops what he or she is doing and obtains the patient's history

Answer 1

When a patient experiences apprehension and urticaria during a blood transfusion, the nurse should slow the transfusion, take vital signs, stop the transfusion if necessary, and notify the charge nurse.

Step-by-step explanation:

When a patient experiences apprehension and urticaria while receiving a blood transfusion, the nurse should:

1. Slow the transfusion and take the patient's vital signs
2. Observe the patient for further transfusion reactions
3. Stop the transfusion, allow normal saline solution to run slowly, and notify the charge nurse
4. Stop what he or she is doing and obtain the patient's history

The correct answer is option 3. Slow the transfusion and take the patient's vital signs. This is done to monitor the patient's condition and ensure their safety. If any further transfusion reactions occur, appropriate actions can be taken promptly. Stopping the transfusion, allowing normal saline solution to run slowly, and notifying the charge nurse is important to prevent the progression of any adverse reactions. Obtaining the patient's history is not the immediate action needed in this situation.