The patient is receiving a transfusion of packed red blood cells. After 30 minutes, the patient complains of intense itching and flank pain. Upon assessment, the nurse notes a fever and tachycardia. Which of the following is the next best step in management?

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Additional Reduction of Risk Potential Questions

The patient with third degree burns to bilateral lower legs is undergoing hydrotherapy to debride eschar tissue from the wounds. Prior to the procedure, the patient received a bolus of intravenous morphine in addition to the continuous infusion for pain control. During the procedure, the patient’s level of consciousness decreases to only rousable by painful stimuli. The patient’s temperature is 36.4°C, respiratory rate is 14 breaths per minute, heart rate is 82 bpm, and oxygen saturation is 93% on room air. The nurse ends the hydrotherapy session and contacts the provider to request which intervention?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 9

The patient is brought to the emergency department following a fire in his home. The nurse notes that the patient has singed facial hair and soot on his face. He is mildly tachypneic, his lung sounds are clear and equal, and the nurse notes pronounced stridor. His oxygen saturation is 90% on room air. Patient also complains of a sore throat and severe pain in his arms and hands, which have about 50% of their area covered by burns. Which of the following is the next best step in management?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 6

The 16-year-old patient presents to the emergency department (ED) complaining of a headache, fever, malaise, and nuchal rigidity. The patient is found to have a fever of 106°F, heart rate 132 bpm, and blood pressure 135/62 mmHg. A complete blood count is normal with the exception of leukocytosis. Additional assessment reveal sunsetter eyes and papilledema. Which test, if instructed to perform first, prompts the nurse to question the order?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 7

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