Medical Surgical Critical Care Blood Administration #1

Question

A client arrives at the emergency department with a hemoglobin of 6. The health care provider orders 2 units of packed red blood cells (PRBCs) to be infused each over 4 hours. The nurse starts the first unit of PRBCs and within the first 15 minutes, the client begins to flush, redness to the face, and begins itching. Which type of infusion reaction is the client exhibiting?

Answers

  1. Febrile reaction.
    • Rationale:

      This answer is correct because when a client has a febrile reaction, the client has flushing, redness, and itchy skin. Usually, the health care provider will order tylenol and benadryl for the client and continue the transfusion.

  2. Anaphylactic reaction.
    • Rationale:

      This answer is not correct because with an anaphylactic reaction, the client would be wheezing, have hives, and hypotension. This client is experiencing a febrile reaction.

  3. Circulatory overload.
    • Rationale:

      This answer is not correct because with circulatory overload, the client would experience crackles in the lungs, restlessness, shortness of breath, dyspnea, and jugular vein distention. This client is experiencing a febrile reaction.

  4. Hemolytic reaction.
    • Rationale:

      This answer is not correct because with a hemolytic reaction, the client would be exhibiting hypotension, apprehension, lower back pain, fever, and tachycardia. This client is experiencing a febrile reaction.

Overview

When a client has a hemoglobin of less than 7, the client is very sick and could go to heaven without an intervention. One unit of PRBCs will increase the hemoglobin 1 point after transfusion.

Explanation

Learning Outcomes

When a client has a febrile reaction, the client has flushing, redness, and itchy skin. Usually, the health care provider will order tylenol and benadryl for the client and continue the transfusion. When a client has a hemoglobin of less than 7, the client is very sick and could go to heaven without an intervention. One unit of PRBCs will increase the hemoglobin 1 point after transfusion.

Test Taking Tip

Know the different types of blood reactions that can occur and the signs and symptoms that the client experiences with each.

Video Rationale