- transfuse the RBC as ordered.
- administer an antipyretic and transfuse the RBCs.
- transfuse the RBCs but monitor the temperature hourly.
- not transfuse the RBCs and instead contact the physician.
A nurse prepares to administer a transfusion of RBCs and takes the client’s vital signs. The client’s temperature is 102.7°F, but other vitals are within normal limits. The nurse should
Number 4 is correct.
Rationale: An elevated temperature may indicate an underlying infection or illness, and the nurse should speak with the health care provider before continuing with the RBC transfusion.