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Routing problem is there?
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NISDOMAIN=?
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Answer: A
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A. Stop the transfusion
B. Assess the pain further
C. Monitor hourly urinary output
D. Obtain vital signs
Answer: A
Explanation:
The initial nursing action is to stop the blood transfusion. It is an adaptation associated with a
hemolytic transfusion reaction; flank pain is due to agglutination of red cells in the kidneys and renal
vasoconstriction, therefore the transfusion should be stopped to avoid further instillation of blood that is
being viewed as foreign by the body.
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