A patient complains of a headache and chills during a blood transfusion. Which one of the following actions should the nurse take immediately?
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel.
B
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A The nurse should take the patient's vital signs, but the initial action should be to stop the blood transfusion.
B If a blood reaction is suspected, the nurse stops the blood transfusion immediately.
C The nurse should not slow the rate of blood flow. The nurse should stop the blood transfusion.
D The nurse should first stop the blood transfusion. The nurse notifies the physician and blood bank personnel after the transfusion is stopped.
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