A patient is receiving a blood transfusion and complains of a new onset of slight dyspnea. The nurse's rapid assessment reveals bilateral lung crackles and elevated BP. What is the nurse's most appropriate action?
A) Slow the infusion rate and monitor the patient closely.
B) Discontinue the transfusion and begin resuscitation.
C) Pause the transfusion and administer a 250 mL bolus of normal saline.
D) Discontinue the transfusion and administer a beta-blocker, as ordered.
Ans: A
Feedback:
The patient is showing early signs of hypervolemia; the nurse should slow the infusion rate and assess the patient closely for any signs of exacerbation. At this stage, discontinuing the transfusion is not necessary. A bolus would worsen the patient's fluid overload.
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