Ten minutes after the transfusion of a unit of packed red blood cells was initiated, the client complains of a headache. The nurse assesses that the client has slight shortness of breath and feels warm to the touch. What action by the nurse is priority?

Question

Quizplus · Accepted Answer

The client is exhibiting signs of a transfusion reaction, specifically a febrile non-hemolytic reaction. Discontinuing the transfusion is the priority action to prevent the reaction from worsening. The other options may be necessary based on the severity of the reaction, but the immediate action is to stop the transfusion.

Ten Minutes After the Transfusion of a Unit of Packed