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The Nurse Enters a Client's Room to Check the Client

Question 30

Multiple Choice

The nurse enters a client's room to check the client who began receiving a blood transfusion 45 minutes earlier. The client is dyspneic and has a bounding pulse. The nurse listens to the client's lung sounds and notes the presence of crackles in the lung bases. The nurse determines that this client is most likely experiencing which of the following complications of blood transfusion therapy?


A) Bacteremia
B) Fluid overload
C) Hypervolemic shock
D) Allergic transfusion reaction

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