The nurse is providing care to a patient who is receiving a blood transfusion.Ten minutes after the infusion is initiated,the patient reports a headache.Upon further assessment the nurse notes that the patient is experiencing dyspnea and feels warm to the touch.Which is the priority nursing action by the nurse?

Question

Quizplus · Accepted Answer

The patient is exhibiting symptoms of a transfusion reaction, specifically a febrile non-hemolytic reaction. The priority nursing action is to immediately stop the transfusion to prevent further exacerbation of the patient's symptoms. Once the transfusion has been stopped, the nurse can then notify the healthcare provider, decrease the rate of the transfusion, and prepare for a full resuscitation if necessary.

The Nurse Is Providing Care to a Patient Who Is