Blood Transfusion Therapy and Nursing Care · NCLEX Exam

When a patient post-transfusion presents crackles at lung bases, increased BP, and shortness of breath, what should the nurse do?

  1. Speed up the transfusion so it finishes quicker
  2. Stop the transfusion and assess for fluid overload
  3. Administer epinephrine and continue the infusion
  4. Continue the transfusion since the signs are mild
Show answer and explanation

Correct answer: Stop the transfusion and assess for fluid overload

These signs point to volume overload; stopping the transfusion and assessing for transfusion-associated circulatory overload is required.

Difficulty: Medium Question 19 of 20

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