NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Question # 58 Topic 6 Discussion

NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Question # 58 Topic 6 Discussion

NCLEX-RN Exam Topic 6 Question 58 Discussion:
Question #: 58
Topic #: 6

A 70-year-old client is almost finished receiving her second unit of packed red blood cells. The client, who weighs 80 lb, has started complaining of being short of breath and now has crackles in the bases of her lungs. After slowing or stopping the transfusion, the most appropriate initial nursing action would be to:


A.

Raise the client’s head and place her feet in a dependent position


B.

Notify the physician


C.

Place the client on 2 liters of O2 via nasal cannula


D.

Administer furosemide (Lasix) 20 mg IV push


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