Ten minutes into a PRBC transfusion, a client develops chills, fever, severe back pain, dyspnea, and red urine…

Question

Ten minutes into a PRBC transfusion, a client develops chills, fever, severe back pain, dyspnea, and red urine. Which is the priority sequence of actions?

Accepted Answer

Option 2: STOP transfusion immediately, disconnect tubing at the IV hub, maintain IV with NS via new tubing, notify provider and blood bank, send remaining unit + tubing + new specimens back, monitor for shock/DIC/AKI, treat per protocol

Correct (2): Classic acute hemolytic transfusion reaction (ABO incompatibility) — chills, fever, flank/back pain, hypotension, hemoglobinuria, dyspnea, DIC, AKI. STOP transfusion, DISCONNECT TUBING (do not just clamp), maintain IV with NS via NEW tubing, notify, send unit + new blood/urine specimens for workup, supportive care. (1,3,4) Continue to expose client to fatal antigen.

Answer

Option 1: Administer additional PRBC for hypotension

Answer

Option 3: Continue infusion and give acetaminophen

Answer

Option 4: Slow the rate to half and observe

Ten minutes into a PRBC transfusion, a client develops chills, fever, severe back pain, dyspnea, and red urine. Which is the priority sequence of actions?

In-depth explanation

Clinical scenario

Key concepts

Master the NCLEX-RN with MyMerci

성장을 멈추지 마세요

Ten minutes into a PRBC transfusion, a client develops chills, fever, severe back pain, dyspnea, and red urine. Which is the priority sequence of actions?

In-depth explanation

Clinical scenario

Key concepts

Master the NCLEX-RN with MyMerci