16. Victor is receiving a transfusion of a blood product. a. The nurse observes
ID: 125841 • Letter: 1
Question
16. Victor is receiving a transfusion of a blood product. a. The nurse observes Victor, knowing that an adverse reaction to the transfusion may be manifested by what signs and symptoms? b. Victor's wife is crying and says, "People get AIDS from transfusions. What happens if Victor gets AIDS?" What will the nurse tell her? c. Forty-five minutes after the transfusion was started, Victor is restless, and his pulse rate has increased. Explain the nurse's next actions, in- cluding the priority action. CASE STUDY Read the scenario, and answer the following questions on a separate sheet of paper. An older man was admitted to the unit with hypopro- teinemia caused by chronic malnutrition. You note that he has some edema over his body, and his total protein level is 4.8 g/dL. 1. What is the relationship between his serum total pro- tein level and the edema you have noted? 2. You are preparing to give him 1 unit of 5% albumin. How does albumin work in this situation? 3. What advantages does albumin have over crystalloids in this situation? 4. You will monitor for what adverse effects while he is receiving albumin?Explanation / Answer
Answer for the 16th questions
a)Most often blood transfusion reactions occur while a patient receiving blood or immediately after. Main symptoms and signs of transfusion reaction are given below.
Shortness of breath, itching, skin flushing, chills, dizziness, fever and back pain.
Transfusion reactions sometimes can be serious. It sometimes cause acute kidney failure, lung problems, shock and anaemia
B) Nurse should educate Victor’s wife. Nurse should tell her that the blood was screened and tested thoroughly in order to avoid any problems.
C) Nurse should check Victor’s vital signs and should check if right pack has been given to Victor.
Nurse should start the intravenous (IV) fluid and should notify the doctor, medical officer and Transfusion Service Provider or the blood bank.
Nurse should ask for a laboratory representative to come and draw the blood from Victor and to test donated blood and Victor’s blood to ensure they were matched appropriately.
Nurse should check with doctor for medications and should start medications to reduce the likelihood of kidney failure and shock.
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