NCLEX Practice Question #3

A client receiving a transfusion of packed red blood cells (PRBCs) begins to vomit. The client’s blood pressure is 90/50 mm Hg from a baseline of 127/78 mm Hg. The client’s temperature is 100.8 degrees F orally. The nurse determines that the client may be experiencing which complication of a blood transfusion?

a. Septicemia

b. Hyperkalemia

c. Circulatory overload

d. Delayed transfusion reaction

Answer: a. Septicemia occurs with the transfusion of blood contaminated with microorganisms. Signs include chills, fever, vomiting, diarrhea, hypotension, and the development of shock.


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