{"id":17920,"date":"2025-06-12T19:39:12","date_gmt":"2025-06-12T19:39:12","guid":{"rendered":"https:\/\/gaviki.com\/blog\/?p=17920"},"modified":"2025-06-12T19:39:20","modified_gmt":"2025-06-12T19:39:20","slug":"a-client-who-has-received-50-ml-of-a-unit-of-whole-blood-complains-of-low-back-pain","status":"publish","type":"post","link":"https:\/\/gaviki.com\/blog\/a-client-who-has-received-50-ml-of-a-unit-of-whole-blood-complains-of-low-back-pain\/","title":{"rendered":"A client who has received 50 mL of a unit of whole blood complains of low back pain"},"content":{"rendered":"\n<p>A client who has received 50 mL of a unit of whole blood complains of low back pain. In response to this client&#8217;s symptom, a nurse should first: A. Reposition the client B. Assess the pain further C. Administer an analgesic D. Stop the blood transfusion *<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-cyan-blue-color\"><strong>The correct answer and explanation is:<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is: <strong>D. Stop the blood transfusion<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>When a client receiving a blood transfusion reports <strong>low back pain<\/strong>, this is a <strong>red flag symptom<\/strong> that may indicate a serious transfusion reaction, such as an <strong>acute hemolytic transfusion reaction<\/strong>. This type of reaction can be life-threatening and requires immediate intervention.<\/p>\n\n\n\n<p><strong>Why stop the transfusion first?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The priority in nursing care is <strong>client safety<\/strong>. Continuing a transfusion when a serious reaction is suspected can worsen the client\u2019s condition.<\/li>\n\n\n\n<li>Low back pain, along with symptoms like chills, fever, hypotension, flushing, and hematuria, is often an early sign of red blood cell destruction and kidney involvement.<\/li>\n\n\n\n<li>Stopping the transfusion immediately prevents further administration of the offending blood product, which could exacerbate the reaction.<\/li>\n<\/ul>\n\n\n\n<p><strong>Why not just assess or give analgesics first?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Although assessing the pain (option B) is important, the immediate priority is to <strong>stop the transfusion<\/strong> to prevent further harm.<\/li>\n\n\n\n<li>Administering analgesics (option C) without stopping the transfusion risks masking symptoms and delaying diagnosis of a serious complication.<\/li>\n\n\n\n<li>Repositioning the client (option A) does not address the potential life-threatening cause of the symptom.<\/li>\n<\/ul>\n\n\n\n<p><strong>Next steps after stopping the transfusion:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Keep the IV line open with normal saline using new tubing.<\/li>\n\n\n\n<li>Notify the healthcare provider and blood bank immediately.<\/li>\n\n\n\n<li>Monitor vital signs and assess for other symptoms of transfusion reaction.<\/li>\n\n\n\n<li>Collect required samples (blood and urine) as ordered to evaluate the reaction.<\/li>\n\n\n\n<li>Provide supportive care and prepare for possible emergency interventions.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Summary:<\/h3>\n\n\n\n<p>In any suspected transfusion reaction, <strong>the first and most crucial nursing action is to stop the transfusion immediately<\/strong>. Low back pain during blood transfusion is an early sign of a serious reaction, so prompt intervention can prevent severe complications and save the client\u2019s life.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A client who has received 50 mL of a unit of whole blood complains of low back pain. In response to this client&#8217;s symptom, a nurse should first: A. Reposition the client B. Assess the pain further C. Administer an analgesic D. Stop the blood transfusion * The correct answer and explanation is: The correct [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-17920","post","type-post","status-publish","format-standard","hentry","category-quiz-questions"],"_links":{"self":[{"href":"https:\/\/gaviki.com\/blog\/wp-json\/wp\/v2\/posts\/17920","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gaviki.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gaviki.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gaviki.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gaviki.com\/blog\/wp-json\/wp\/v2\/comments?post=17920"}],"version-history":[{"count":1,"href":"https:\/\/gaviki.com\/blog\/wp-json\/wp\/v2\/posts\/17920\/revisions"}],"predecessor-version":[{"id":17921,"href":"https:\/\/gaviki.com\/blog\/wp-json\/wp\/v2\/posts\/17920\/revisions\/17921"}],"wp:attachment":[{"href":"https:\/\/gaviki.com\/blog\/wp-json\/wp\/v2\/media?parent=17920"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gaviki.com\/blog\/wp-json\/wp\/v2\/categories?post=17920"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gaviki.com\/blog\/wp-json\/wp\/v2\/tags?post=17920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}