A patient is receiving the first of two ordered units of PRBCs. Shortly after the initiation of the transfusion, the patient complains of chills and experiences a sharp increase in temperature. What is the nurse's priority action?
A) Position the patient in high Fowler's.
B) Discontinue the transfusion.
C) Auscultate the patient's lungs.
D) Obtain a blood specimen from the patient.
Ans: B
Feedback:
Stopping the transfusion is the first step in any suspected transfusion reaction. This must precede other assessments and interventions, including repositioning, chest auscultation, and collecting specimens.
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