The nurse is administering a unit of blood to a child. What are signs and symptoms of a transfusion reaction? (Select all that apply.)
a. Chills
b. Shaking
c. Flank pain
d. Hypothermia
e. Sudden severe headache
ANS: A, B, C, E
Signs and symptoms of a transfusion reaction include chills, shaking, flank pain, and sudden severe headache. Hyperthermia, not hypothermia, occurs.
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