High School

A client receiving a transfusion of packed red blood cells begins to vomit. The client's blood pressure is 90/50 mm Hg from a baseline of 125/78 mm Hg. The client's temperature is 100.8 °F orally from a baseline of 99.2 °F. The nurse determines that the client may be experiencing which complication of a blood transfusion?

A. Septicemia
B. Hyperkalemia
C. Circulatory overload
D. Delayed transfusion reaction

Answer :

Final answer:

The client may be experiencing circulatory overload as a complication of the blood transfusion.

Explanation:

The complication that the client may be experiencing is Circulatory overload. Circulatory overload occurs when the blood volume infused during the transfusion exceeds the client's circulatory capacity, leading to fluid accumulation in the lungs and other tissues. The symptoms of circulatory overload include vomiting, increased blood pressure, and elevated temperature. In this case, the client's blood pressure is 90/50 mm Hg from a baseline of 125/78 mm Hg, and the temperature is 100.8 ° F orally from a baseline of 99.2 ° F.

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