A patient has received 145 mL of blood and complains of chills. For what should the nurse assess this patient?
Select all that apply.
1. bradypnea
2. urticaria
3. fever
4. hypertension
5. lumbar pain
Correct Answer: 2, 3, 5
Manifestations of a hemolytic blood reaction include headache, dyspnea, urticaria, fever, hypotension, lumbar pain, abdominal pain, chills, and nausea and vomiting. Reduced respiratory rate and hypertension are not manifestations of a hemolytic blood reaction.
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What will be an ideal response?