Question

The nurse enters a client's room to assess the client, who began receiving a blood transfusion 45 minutes earlier, and notes that the client is flushed and dyspneic. On assessment, the nurse auscultates the presence of crackles in the lung bases.

a.Continue the transfusion
b.Notify the healthcare provider
c.Slow the transfusion rate
d.Administer diuretics

Answer 1

The nurse should notify the healthcare provider immediately due to the client's symptoms of flushing, dyspnea, and the presence of crackles in the lung bases.

Step-by-step explanation:

In this case, the nurse should notify the healthcare provider immediately. The client's symptoms of flushing, dyspnea, and the presence of crackles in the lung bases are suggestive of a possible transfusion reaction. Transfusion reactions can occur when there is an incompatibility between the donor's blood and the recipient's blood. This can lead to symptoms such as fever, chills, hives, shortness of breath, and in severe cases, low blood pressure and organ failure.