A nurse is administering a blood transfusion for a patient following surgery. During the transfusion, the patient dis-plays signs of dyspnea, dry cough, and pulmonary edema. What would be the nurse’s priority actions related to thesesymptoms?a. Slow or stop the infusion; monitor vital signs, notify thephysician, place the patient in upright position with feetdependent.b. Stop the transfusion immediately and keep the vein openwith normal saline, notify the physician stat, administerantihistamine parenterally as needed.c. Stop the transfusion immediately and keep the veinopen with normal saline, notify the physician, andtreat symptoms.d. Stop the infusion immediately, obtain a culture of thepatient’s blood, monitor vital signs, notify the physician,administer antibiotics stat.
A nurse is administering a blood transfusion for a patient
following surgery. During the transfusion, the patient dis-
plays signs of dyspnea, dry cough, and pulmonary edema.
What would be the nurse’s priority actions related to these
symptoms?
a. Slow or stop the infusion; monitor vital signs, notify the
physician, place the patient in upright position with feet
dependent.
b. Stop the transfusion immediately and keep the vein open
with normal saline, notify the physician stat, administer
antihistamine parenterally as needed.
c. Stop the transfusion immediately and keep the vein
open with normal saline, notify the physician, and
treat symptoms.
d. Stop the infusion immediately, obtain a culture of the
patient’s blood, monitor vital signs, notify the physician,
administer antibiotics stat.
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