NCLEX RN Practice Question # 819
Practice Question # 819.
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A nurse is administering a blood transfusion to a client on the oncology unit. Which clinical manifestation indicates an acute hemolytic reaction to the blood?Correct
Answer A is correct.
Rationale: This clinical manifestation is due to the hemolysis of the red blood cells in the kidney. Answer B occurs with a febrile reaction. A rash or urticaria occurs with an allergic reaction, making answer C incorrect. Answer D is incorrect because this clinical manifestation usually occurs with circulatory overload.Incorrect
Answer A is correct.
Rationale: This clinical manifestation is due to the hemolysis of the red blood cells in the kidney. Answer B occurs with a febrile reaction. A rash or urticaria occurs with an allergic reaction, making answer C incorrect. Answer D is incorrect because this clinical manifestation usually occurs with circulatory overload.
Oncology (Chemotherapy ) Unit:
Chemotherapy is prescribed for the treatment of diseases, especially cancers, using specific cytotoxic agents or drugs that are destructive to malignant cells and tissues. The Medical Oncology (Chemotherapy) Unit provides for the clinical treatment and management of patients undergoing Chemotherapy treatment for cancer. The function of the Unit may include:
Administration of blood products and/or other supportive therapies
Clinical procedures and examination
Patient and family education and support
Clinical trial management
Coordination of care.
Chemotherapy can be administered by various routes:
Intravenously – through a vein or artery e.g. PICC line, Central Venous Catheter, Porta-caths
Injection – intramuscularly or subcutaneously
Intrathecal – into the central nervous system via the cerebrospinal fluid
Intra-pleural – into the chest cavity
Intraperitoneal – into the abdominal cavity
Intra-vesical – into the bladder
Intra-lesional/ Intra-tumoral – directly into the tumour
Topically – either as a cream or lotion
Orally – as a capsule.