Difficulty: Medium
Average Score: 67%
Simulated
A nurse is assessing a client who is receiving a unit of packed red blood cells. Which client statement suggests manifestation of an acute hemolytic reaction?
Correct answer
A
Rationale
Sharp pain in the lower back is a classic symptom of an acute hemolytic reaction, which can occur due to incompatible blood transfusions. Coughing more could indicate a transfusion-related acute lung injury (TRALI) but is not a typical sign of an acute hemolytic reaction. Ringing in the ears can occur with other conditions but is not a common sign of an acute hemolytic reaction. Feeling needles poking in the feet is vague and not specifically associated with acute hemolytic reactions.