Please see the following question I encountered, my incorrect answer and the correct answer with "rationale" (not exactly a rationale). I would appreciate somebody explaining to me why KVO is done before administering an antihistamine.
Is it because it is an antihistamine in oral form, and not in IV form (which the question most certainly sets you up to believe)?
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[TD]A nurse is caring for a client who is having an allergic reaction to a blood transfusion. In what order should the nurse provide care for this client?[/TD]
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[TD]You selected:[/TD]
[TD][COLOR=red]Stop the transfusion.
Administer an antihistamine as directed.
Keep the vein open with normal saline solution.
Send the blood bag and blood slip to the blood bank.[/TD]
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[TD][COLOR=red]Incorrect[/TD]
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[TD]Correct response:[/TD]
[TD][COLOR=green]Stop the transfusion.
Keep the vein open with normal saline solution.
Administer an antihistamine as directed.
Send the blood bag and blood slip to the blood bank.[/TD]
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[TD]Explanation:[/TD]
[TD]The nurse should first stop the transfusion. The nurse should next keep the I.V. open at the original blood transfusion site with normal saline at a keep-vein-open rate. Then, the nurse should administer an antihistamine. Last, the nurse should return the blood bag and blood slip to the blood bank for testing. (less)
holinurse
48 Posts
I hear, I hear. Thanks