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An Older Adult Patient Is Receiving a Transfusion of Packed

Question 25

Multiple Choice

An older adult patient is receiving a transfusion of packed red blood cells after being injured in a car accident.On assessment,the nurse notes a new finding of bounding pulse,crackles,and increasing dyspnea.What should the nurse do first,after stopping the transfusion?


A) Assess vital signs.
B) Raise the head of the bed.
C) Encourage the patient to deep breathe and cough.
D) Administer prn diphenhydramine (Benadryl) as ordered.

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