A patient develops chills, back pain and dark urine shortly after a blood transfusion begins. What is the priority nursing action?
Correct answer: B. Stop the transfusion immediately
- A. Slow the transfusion rate
- B. Stop the transfusion immediately
- C. Give the next prescribed unit
- D. Flush the line with dextrose solution
Explanation
These findings may indicate an acute haemolytic transfusion reaction, so the transfusion must be stopped immediately to prevent further exposure. The nurse maintains appropriate intravenous access according to policy, assesses the patient and reports the reaction; dextrose should not be used in the blood line.
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Blood and immunity covers plasma, red blood cells, white blood cells, platelets, haemoglobin, blood groups and haemostasis. It explains innate and adaptive defenses, antibodies, lymphocytes, inflammation, vaccination and immune memory, with a distinction between active and passive immunity and between antigen and antibody.
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