A client who has begun receiving TPN with lipids develops shaking chills, shortness of breath, and chest pain. The priority action by the nurse is to immediately
a. call the physician.
b. obtain a 12-lead ECG.
c. stop the infusion.
d. take a set of vitals.
C
Although rare, allergic reactions to intravenous lipid preparations have been reported and usually present within 30 minutes. Clinical manifestations of reactions can include fever, shaking chills, shortness of breath, chest pain, or back pain. When this occurs, the nurse must first stop the infusion before doing anything else.
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