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A Client's Vital Signs Prior to a Blood Transfusion Were

Question 11

Multiple Choice

A client's vital signs prior to a blood transfusion were: temperature (T) = 97.6°F (36.4°C) ; pulse (P) = 72 beats/min; respirations (R) = 22 breaths/min; blood pressure (BP) = 132/76 mm Hg. Twenty minutes after the transfusion was begun, the client began complaining of feeling "itchy and hot." The nurse discovered a rash on the client's trunk. Vital signs were T = 100.8°F (38.2°C) ; P = 82 beats/min; R = 24 breaths/min; BP = 146/88 mm Hg. Based on these findings, what is the most appropriate initial intervention?


A) Administer an antihistamine medication.
B) Flush the blood tubing with D5W immediately.
C) Prepare for emergency resuscitation.
D) Stop the blood transfusion immediately.

Correct Answer:

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