The nurse is caring for a client who is receiving a blood transfusion. The transfusion started 30 minutes ago at a rate

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The nurse is caring for a client who is receiving a blood transfusion. The transfusion started 30 minutes ago at a rate of 100 mL/hr. The client begins to complain of low back pain and headache and is increasingly restless. What is the first nursing action?

a. Stop the transfusion, disconnect the blood tubing, and begin a primary infusion of normal saline solution

b. Slow the infusion and evaluate the vital signs and the client’s history of tranfusion reactions

c. Slow the infusion of blood and begin infusion of normal saline solution from the Y connector.

d. Recheck the unit of blood for correct identification numbers and crossmatch information

 
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