Difficulty: Medium
Average Score: 87%
Simulated
A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?
Correct answer
D
Rationale
Chills, back pain, and nausea suggest a hemolytic transfusion reaction; stopping the infusion prevents further exposure to incompatible blood.