Nurse Moose
    Med Surg Proctored ExamQuestion 19
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    Med Surg Proctored Exam

    The nurse is assessing the client during the transfusion of O positive packed red blood cells (PRBCs) that began 15 minutes ago. The client complains of a headache and chills. Current vital signs: Blood pressure 111/58, Heart Rate 106, Respirations 22, and Temperature 100.9F. What action(s) will the nurse take at this time? (Select all that apply).