Answer: Today's NCLEX Question of the Day
The answer is C) Stop the transfusion and keep the IV line open with normal saline using new tubing.
Chills, fever and low back pain early in a transfusion point to an acute hemolytic reaction, which can be life-threatening. The first step is always to stop the transfusion so no more blood enters, then keep IV access open with normal saline through new tubing (so the blood left in the old line isn't flushed in).
Why not the others: A and B keep giving the blood that may be causing the reaction. D is a correct step, but it comes after you stop the transfusion, stay with the client, and notify the provider.
NCLEX tip: for any suspected transfusion reaction, think "stop, saline, stay": stop the blood, keep the line open with saline, stay with the client and monitor, then notify the provider and blood bank.
How did you do? Tell us below.
Did you get it right? What's one transfusion safety check you never skip?
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