Ati nur 250 med surg proctored exam(clinical nursing practicum)
A charge nurse is supervising a newly licensed nurse care for a client who is receiving a transfusion of packed RBC. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse?
Explanation & Rationale
A. Collect urine specimen Appropriate to assess for hemoglobinuria during a hemolytic reaction. B. Starts another unit of blood Incorrect action—transfusion must be stopped and not restarted without provider evaluation. C. Initiates 0.9% sodium chloride infusion Maintains vascular access and supports renal perfusion-appropriate. D. Sends blood specimen Required for follow-up testing and identification of reaction cause.
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