While receiving a transfusion of packed red blood cells, a school-age child begins to experience itchy skin, hives, and wheezes. What should the nurse do first for this child?

Question

A) Stop the transfusion.
B) Obtain a blood culture.
C) Slow the transfusion rate.
D) Provide a diuretic as prescribed.

Answer 1

A
Feedback:
Itchy skin, hives, and wheezes while receiving a blood transfusion indicate an allergic reaction to the blood proteins. The nurse should stop the infusion. This will be temporary because after the child receives oxygen and an antihistamine, the transfusion will be resumed. Blood cultures are indicated if the child experiences an increase in body temperature. Slowing the transfusion rate will not reduce the patient's symptoms. A diuretic would be indicated if the child demonstrates shortness of breath and an increased pulse rate.