Question:

The nurse is caring for a child receiving a blood transfusion. The child becomes flushed and is wheezing. What should the nurse do first? 

1. Notify the physician. 

2. Administer oxygen. 

3. Switch the transfusion to normal saline solution. 

4. Take the child’s vital signs.

The child is having a reaction to the blood transfusion. The priority is to stop the blood transfusion but maintain an open venous access for medication or high fluid volume delivery. Thus, switching the transfusion to normal saline solution would be done first. Since the child is having difficulty breathing, applying oxygen would be the next action. Additionally, vital signs are taken to determine the extent of circulatory involvement. Then the physician would be notified and, if necessary, the crash cart would be obtained. 

CN: Pharmacological and parenteral therapies; CL: Synthesize

Answer:3

翻译

问题：

护士正在照料一个正在输血的孩子。孩子脸红并出现喘息。护士应该先做什么？

1.通知医生。

2.给氧。

3.把输血换成生理盐水。

4.观察孩子的生命体征

答案：3

这孩子对输血有反应。当务之急是停止输血，但要保持开放的静脉通路，以便进行药物治疗或大量液体输送。因此，应首先将输血转换为生理盐水。由于孩子呼吸困难，下一步就是吸氧。此外，生命体征被用来确定循环系统损害的程度。然后会通知医生，如有必要，将会用到急救车。

CN：药理学和肠外疗法；CL：合成

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