During a blood transfusion, a client develops fever, chills, back pain, and hypotension. What is the nurse’s first action?

Question

Accepted Answer

B. Stop the transfusion and keep the IV open with normal saline — These signs suggest a serious transfusion reaction. Stop the blood immediately, keep IV access with normal saline (new tubing), notify the provider and blood bank, and follow facility protocol.

Answer

A. Slow the transfusion rate and reassess

Answer

C. Give acetaminophen and continue the transfusion

Answer

D. Flush the line with dextrose 5% in water