Packed red blood cells have been prescribed for a client with anemia who has a hemoglobin level of 6.8 g/dL (68 g/L) and a hematocrit level of 28% (0.28). The nurse takes the client’s temperature before hanging the blood transfusion and records 100.6° F (38.1° C) orally. Which action would the nurse take?
1
Begin the transfusion as prescribed.
2
Administer an antihistamine and begin the transfusion.
3
Administer 2 tablets of acetaminophen and begin the transfusion.
4
Delay hanging the blood and notify the primary health care provider (PHCP).