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 experiencing a transfusion reaction and the priority action is to discontinue the transfusion immediately to prevent further complications. The physician should be notified after the transfusion is discontinued. Slowing the rate of the transfusion or preparing to resuscitate the client may be necessary, but the priority action is to stop the transfusion.

Ten Minutes After the Transfusion of a Unit of Packed