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Validity is the extent to which a measurement tool actually measures what it purports to measure. A test can be reliable (consistent) without being valid (accurate), but a valid test must also be reliable. Validity is considered the most important quality of any assessment instrument.
Correct Answer: B — Validity.
Acute Hemolytic Transfusion Reaction (AHTR) — most dangerous transfusion complication, usually due to ABO incompatibility:
- Onset: within first 15–30 minutes of transfusion
- Symptoms: fever, chills, back/flank pain (renal involvement), hemoglobinuria (red/brown urine), hypotension, anxiety, sense of doom
- Mechanism: Antibodies destroy transfused RBCs → intravascular hemolysis → free hemoglobin → acute renal failure
Immediate nursing actions (STOP-STAY-SUPPORT):
- Stop the transfusion immediately
- Keep IV line open with normal saline
- Notify physician and blood bank STAT
- Send blood and urine samples to blood bank
- Monitor vital signs every 5 minutes
- Return blood bag and tubing to blood bank
- Monitor urine output — maintain >100 mL/hr (prevent renal failure)
Finding differences: \(5-1=4,\ 13-5=8,\ 25-13=12,\ 41-25=16\
Second differences: 4, 4, 4 — constant. So differences increase by 4 each time.
Next difference = 20. 6th term = \(41 + 20 = \mathbf{61}\
These represent centered square numbers: \(2n^2 - 2n + 1\ for \(n = 1, 2, 3...\
\(n=6: 2(36) - 12 + 1 = 72 - 12 + 1 = 61\ ✓
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