The Nurse Is Providing Care for a Client Who Is

The nurse is providing care for a client who is receiving a blood transfusion.Pre-transfusion vital signs were blood pressure (BP) , 144/78 mm Hg; temperature (T) , 98.4°F; pulse (P) , 86; respirations (R) , 14.Now, approximately an hour after the transfusion was initiated, the client's vital signs are BP, 168/92 mm Hg; P, 98; R, 20.Next, the nurse should:

A) Record the vital signs.
B) Listen to the client's breath sounds.
C) Notify the physician.
D) Slow the transfusion rate.