A client is receiving a transfusion of packed red blood cells and reports chills, fever, and back pain. What action by the nurse is best?

Question

Quizplus · Accepted Answer

This client has signs of a hemolytic transfusion reaction which is usually caused by an infusion of incompatible blood. The nurse would stop the transfusion immediately and notify the provider or call an RRT. Obtaining an oxygen saturation is not a bad idea, but that is more closely related to transfusion-related lung injury or transfusion-related circulatory overload. Interventions specifically for fever and back pain are not the priority.

A Client Is Receiving a Transfusion of Packed Red Blood