Picmonic NCLEX® Question of the Day

A 30-year-old, female patient in the critical care unit is receiving a blood transfusion. Five minutes into the transfusion, the patient complains of a headache and says she has difficulty breathing. Her vital signs are BP: 140/95mmHg, HR of 113bpm, Temp 101.5F. The nurse should take which of the following actions first?

Call the physician immediately.
Call the charge nurse immediately.
Stop the transfusion.
Slow the transfusion.
Raise the head of bed to 90 degrees.
Notify the blood bank immediately.

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