Fifteen minutes after a transfusion of packed RBCs is started,a patient develops tachycardia and tachypnea,and complains of back pain and feeling warm.What is the nurse's priority action?

Question

Quizplus · Accepted Answer

The patient is displaying signs of a transfusion reaction, and the priority action should be to stop the transfusion immediately and administer normal saline to maintain intravascular volume. Oxygen therapy may also be beneficial, but it is not the priority action. Slowing the transfusion rate is not appropriate in this situation. Discarding the used bag and tubing is important, but it is not the priority action.

Fifteen Minutes After a Transfusion of Packed RBCs Is Started,a