Question

The nurse is caring for a client who is receiving a blood transfusion and is complaining of a cough. the nurse checks the client's vital signs, which include temperature of 97.2°f (36.2°c), pulse of 108 beats per minute, blood pressure of 152/76 mm hg, respiratory rate of 24 breaths per minute, and an oxygen saturation level of 95% on room air. the client denies pain at this time. based on this information, what initial action should the nurse take?

Answer 1

The answe is "Compare current data to baseline data"

This patient's vital signs and the cough are abnormal so the first thing that should be done by the nurse is to compare these values with the values before starting the blood transfusion.

This is because a blood transfusion can cause complications like circulatory overload.
Some of the symptoms of circulatory overload are cough, hypertension, tachycardia all of which the patient is suffering.