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Exam NCLEX-RN topic 4 question 172 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 172
Topic #: 4
[All NCLEX-RN Questions]

A clients transfusion of packed red blood cells has been infusing for 2 hours. She is complaining of a raised, itchy rash and shortness of breath. She is wheezing, anxious, and very restless. The nurse knows these assessment findings are congruent with:

  • A. Hemolytic transfusion reaction
  • B. Febrile transfusion reaction
  • C. Circulatory overload
  • D. Allergic transfusion reaction
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Suggested Answer: D 🗳️
(A) A hemolytic transfusion reaction would be characterized by fever, chills, chest pain, hypotension, and tachypnea. (B) Fever, chills, and headaches are indicative of a febrile transfusion reaction. (C) Circulatory overload is manifest by dyspnea, cough, and pulmonary crackles. (D) Urticaria, pruritus, wheezing, and anxiety are indicative of an allergic transfusion reaction.
by [deleted] at March 10, 2025, 6:53 a.m.

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