Question

A client with severe anemia is to receive a unit of packed red blood cells. In the event of a transfusion reaction, the first action by the nurse should be to:

Notify the physician and the nursing supervisor.
Stop the transfusion and maintain an IV of normal saline.
Call the lab for verification of type and cross match.
Prepare an injection of Benadryl (diphenhydramine).

Answer 1

The first action by the nurse in the event of a transfusion reaction is to stop the transfusion and maintain an IV of normal saline.

Step-by-step explanation:

If a severe transfusion reaction occurs, the first action by the nurse should be to stop the transfusion and maintain an IV of normal saline. Transfusion reactions can be life-threatening, and stopping the transfusion is crucial to prevent further harm. Maintaining an IV of normal saline helps ensure the patient's fluid balance and stability while further interventions are carried out.