Weekly NCLEX/HESI Question for July 28


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July 28

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A client on the medical surgical floor is ordered a unit of packed red blood cells. While receiving the unit the client develops chills and a temperature of 102.4 degrees (F). The nurse:
notifies the doctor and the blood bank
slows down the infusion recognizing this as a mild reaction while still monitoring the client
adds a leukocyte filter to the blood transfusion set
stops the transfusion and removes the IV catheter
Question 1 Explanation: 
The correct answer is (d). Chills and fever are signs of an acute reaction. The blood transfusion should be stopped immediately.
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