The Nurse Is Administering a Second Unit of Packed Red

The nurse is administering a second unit of packed red blood cells to a patient who was admitted with Hemoglobin of 4.2. After 15 minutes of infusion, the nurse suspects the patient is having a reaction to the packed red blood cells. What symptoms would most likely be evidence of a hemolytic reaction?

A) Vomiting and diarrhea
B) Coughing up blood tinged sputum, shortness of breath
C) Blood pressure of 130/80, heart rate of 106, temperature of 99.0 F
D) Shortness of breath, fever of 100.4 F, new onset of back pain

Correct Answer:

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