Difficulty: Medium
Average Score: 80%
Simulated
While receiving a unit of packed RBCs, the patient develops chills. itching hives. and a temperature of 1022 F (39.0 C). What is the priority action for the nurse to take?
Correct answer
A
Rationale
Stopping the transfusion and disconnecting the tubing prevents further infusion during a possible reaction. Slowing the transfusion is inappropriate, notifying provider/blood bank is secondary, and epinephrine requires further assessment.