Physiological IntegrityPregunta 65 de 120
The LPN/LVN is monitoring a client receiving a blood transfusion. Which finding suggests a transfusion reaction and requires stopping the infusion?
a.Fever, chills, and flank pain shortly after the start
b.Blood pressure of 120/70 mmHg
c.Temperature unchanged from baseline
d.Report of feeling comfortable
Explicación
Fever, chills, and flank pain suggest a hemolytic transfusion reaction; the transfusion must be stopped and the RN notified immediately. Stable vital signs and comfort are reassuring. Early recognition prevents serious harm.
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