Tamica is a female adult patient who is admitted due to esophageal varices, with chief complaint of hematemesis. The physician ordered 3 "u" of blood to be transfused after proper typing and crossmatching. The nurse administers the first unit of blood and after 30 minutes, the patient complains of severe flank pain. What would be the initial nursing action?

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Quizplus · Accepted Answer

The initial nursing action is to stop the blood transfusion. It is an adaptation associated with a hemolytic transfusion reaction; flank pain is due to agglutination of red cells in the kidneys and renal vasoconstriction, therefore the transfusion should be stopped to avoid further instillation of blood that is being viewed as foreign by the body.

Tamica Is a Female Adult Patient Who Is Admitted Due