While administering a packed red blood cell transfusion, the patient becomes restless, febrile, and complains of nausea. The nurse's initial response to these symptoms is to:
A) Stop the transfusion
B) Notify the physician
C) Decrease the drip rate of the blood transfusion
D) Obtain the patient's vital signs
Ans: A
Feedback: Restlessness, fever, and nausea are symptoms that may indicate a transfusion reaction. If a transfusion reaction occurs, the nurse's initial response is to stop the blood transfusion. After stopping the transfusion, vital signs should be obtained and the physician should be notified.
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