The nurse is assisting in monitoring a client who is receiving a transfusion of packed red blood cells (PRBCs)
Before leaving the room, the nurse tells the client that it is most important to immediately report which of the following symptoms of a transfusion reaction, if they occur? Select all that apply. 1. Chills
2. Sleepiness
3. Fatigue
4. Chest pain
5. Low back pain
6. Difficulty breathing
1, 4, 5, 6
Rationale: The nurse should instruct the client to immediately report signs of a transfusion reac-tion, which can include chest pain, lower back pain, chills, itching, rash, or difficulty breathing. These signs of transfusion reaction would require the nurse to stop the transfusion. Fatigue and sleepiness are unrelated to transfusion reaction.
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