Difficulty: Medium
Average Score: 71%
Simulated
A nurse is assisting with the care of a client who is receiving a blood transfusion. Which of the following actions should the nurse take if a transfusion reaction is suspected?
Correct answer
C
Rationale
Stopping the transfusion is the first action if a reaction is suspected to prevent further harm. Increasing the rate worsens the reaction, acetaminophen is secondary, and leg elevation is not indicated.