medium · NCLEX-RN Pharmacological and Parenteral Therapies

While monitoring a client receiving a unit of packed red blood cells, the nurse notes the client reports sudden low back pain and develops a temperature of 38.9circC (102circF), an increase from 37.0circC (98.6circF).

Which action should the nurse take first?

  1. Stop the transfusion and disconnect the blood tubing at the catheter hub.
  2. Flush the IV line with 0.9% normal saline to maintain patency.
  3. Slow the rate of the transfusion and notify the healthcare provider.
  4. Administer the prescribed PRN dose of acetaminophen for the fever.

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