The client receiving a blood transfusion calls the nurse, and requests acetaminophen for her headache and lotion to apply to a rash that she just noticed. The priority nursing intervention is to:
1. Offer to apply the lotion for her.
2. Administer the p.r.n. acetaminophen ordered by the provider.
3. Reduce the rate of blood infusion.
4. Discontinue the blood.
4
Rationale: The symptoms reported by the client are highly suspicious of a blood transfusion reaction, so the blood infusion should be discontinued and normal saline hung in its place until the RN and/or provider can be notified.
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