A patient's vital signs prior to a blood transfusion were T = 97.6°F (36.4°C) ; P = 72 beats/min; R = 22 breaths/min; and BP = 132/76 mm Hg.Twenty minutes after the transfusion started,the patient began complaining of feeling "itchy and hot" and a new rash is present on the patient's trunk.Vital signs are now T = 100.8°F (38.2°C) ; P = 82 beats/min; R = 24 breaths/min; BP = 146/88 mm Hg.Based on these findings,what is the priority intervention?

A) Administer an antihistamine (anti-allergenic) medication.
B) Flush the blood tubing with D₅W immediately.
C) Prepare for emergency resuscitation.
D) Stop the blood transfusion immediately.

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Blanca Aracely · Accepted Answer

Final Answer : D, Explanation :  The patient is experiencing an allergic reaction, as evidenced by the presence of rash and symptoms such as itchiness and feeling hot. The increase in temperature, heart rate, and blood pressure also suggest anaphylaxis. The priority intervention is to stop the blood transfusion immediately to prevent further reaction and assess the patient's airway, breathing, and circulation. If the patient's condition worsens, emergency resuscitation may be needed. Administering an antihistamine may also be necessary but is not the priority at this point. Flushing the blood tubing is not relevant to the current situation.

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