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A patient receiving a blood transfusion begins to report itc…

A patient receiving a blood transfusion begins to report itching and feeling flushed. On assessment, the nurse notes a rash on the patient’s chest and arms. Blood pressure is 125/78 mmHg from a baseline of 130/70 mmHg. Temperature is 98.2o F orally from a baseline of 99o F orally. The nurse determines the patient is experiencing which type of transfusion reaction?

Soon after the nurse administers an intradermal injection of…

Soon after the nurse administers an intradermal injection of an allergen to a patient’s forearm, the patient reports itching at the site, weakness, and dizziness. When administering care, which action would the nurse appropriately delegate to the certified nursing assistant (CNA)?

Several years later, the patient presents to the HIV clinic…

Several years later, the patient presents to the HIV clinic for a follow up appointment. Until recently, he has been doing well. The nurse’s physical assessment is negative except for the following:  Skin cool and clammy, patient reports frequent night sweats. Patient reports intermittent nausea and decreased appetite. Bilateral lymphadenopathy in neck and axilla. BP 128/78 mmHg, HR 98 bpm, RR 18, temperature 99.7 F oral, O2 sat 96% room air.   Labs/Diagnostics Results Reference Flag Viral load 100,000 copies/mL HIGH CD4 count 250 cells/mm3 LOW Candidiasis culture Negative NEGATIVE Chest X-Ray Negative, lungs clear bilaterally Based on the assessment data and diagnostic results above, what is the nurse’s priority concern?