The nurse is caring for a client with client receiving packed red blood cells. Which finding requires immediate follow-up?

Question

Accepted Answer

B. chills, low back pain, and fever during the transfusion — Chills, fever, and low back pain can indicate an acute hemolytic transfusion reaction and require immediate response.

Answer

A. mild increase in blood pressure from anxiety

Answer

C. sleepiness after diphenhydramine premedication

Answer

D. hunger while waiting for lunch