Question

A patient develops a hemolytic reaction to a blood transfusion. What actions should the nurse take after this occurs? (Select all that apply.)

a) Begin iron chelation therapy.
b) Administer diphenhydramine (Benadryl).
c) Document the reaction according to policy.
d) Collect a urine sample to detect hemoglobin.
e) Obtain appropriate blood specimens.

Answer 1

After a patient develops a hemolytic reaction to a blood transfusion, the nurse should document the reaction, administer diphenhydramine, and obtain appropriate blood specimens.

Step-by-step explanation:

When a patient develops a hemolytic reaction to a blood transfusion, there are several actions that the nurse should take:

1. Document the reaction according to policy: The nurse should thoroughly document the patient's symptoms, vital signs, and any interventions that were performed during and after the reaction.
2. Administer diphenhydramine (Benadryl): Diphenhydramine can help reduce the allergic response and relieve symptoms such as itching and hives.
3. Obtain appropriate blood specimens: The nurse should collect blood samples to assess the patient's hemoglobin levels, clotting factors, and any other relevant laboratory tests.