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A nurse is caring for a school age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction?a. Laryngeal edemab. Flank painc. Distended neck veinsd. Muscular weakness

User Busayo
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Final answer:

Flank pain is a manifestation that should alert a nurse to a possible hemolytic transfusion reaction (HTR), which is a serious complication arising from the immune system's response to incompatible transfused blood.

Step-by-step explanation:

In the case of a hemolytic transfusion reaction (HTR), which is a potentially life-threatening condition arising after an incompatible blood transfusion, several symptoms can manifest as part of the body's response. One of the key manifestations of HTR is flank pain, which can be indicative of the immune system's reaction to foreign red blood cells, leading to their destruction and subsequent kidney damage due to the byproducts of hemolysis. Other symptoms may include fever, chills, itchy skin, hives, difficulty breathing, hemoglobinuria, and low blood pressure.

It is crucial for nursing personnel to promptly recognize the symptoms of a hemolytic transfusion reaction to intervene quickly and prevent more severe complications such as shock or organ failure. The mention of laryngeal edema, distended neck veins, and muscular weakness could indicate other types of reactions or complications, but these are not typically primary indicators of an HTR.

User Teodor
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