Difficulty: Medium
Average Score: 79%
Full-length
A nurse is administering a blood transfusion to a client on the oncology unit. Which clinical manifestation indicates an acute hemolytic reaction to the blood?
Correct answer
A
Rationale
Low back pain is a hallmark of acute hemolytic reaction due to immune-mediated hemolysis. Headache (B) and urticaria (C) suggest allergic reactions, and neck vein distention (D) suggests fluid overload.