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The Nurse Is Assessing a Client with a History of Heart

Question 26

Multiple Choice

The nurse is assessing a client with a history of heart failure who is receiving a unit of packed red blood cells.The client's respiratory rate is 33 breaths/min and blood pressure is 140/90 mm Hg.Which action does the nurse take first?


A) Administer prescribed diphenhydramine (Benadryl) .
B) Continue to monitor the client's vital signs.
C) Stop the infusion of packed red blood cells.
D) Slow the infusion rate of the transfusion.

Correct Answer:

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