NUR105 M4.7: Debriefing Discussion
In your discussion response, address each of the following prompts:
Identify and describe the priority nursing action.
Explain the problem and other symptoms might you see.
Identify and describe the tasks that can be delegated in caring for this client.
In this NUR105 M4.7: Debriefing Discussion scenario, the priority nursing action is to stop the blood transfusion immediately upon recognizing the signs and symptoms of a possible transfusion reaction in the client. The problem presented here is the potential development of an acute haemolytic transfusion reaction. Some of the symptoms that may be observed in NUR105 M4.7: Debriefing Discussion cases include facial flushing, itching, muscle stiffness, chills, fever, and anxiety. These symptoms may indicate an adverse immune response to the transfused blood, which can lead to severe complications if not addressed promptly.
Tasks that can be delegated in caring for this client in this NUR105 M4.7: Debriefing Discussion should align with the urgency of the situation. While the initial recognition of the problem and the immediate stopping of the blood transfusion are the responsibilities of the registered nurse (RN), other tasks can be delegated to nursing assistive personnel (NAP) to ensure comprehensive care. The NAP can assist in providing emotional support to the client and notifying the healthcare provider about the situation. Additionally, they can help prepare and administer prescribed medications to manage the client’s symptoms under the direction of the RN. The RN must maintain close supervision and communication with the NAP to ensure that the client’s condition is appropriately managed during this critical situation.
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