During a transfusion of packed red blood cells, a client suddenly develops dyspnea, crackles in the lung bases, distended neck veins, and an increased blood pressure. The nurse should immediately:

The correct answer to the question "During a transfusion of packed red blood cells, a client suddenly develops dyspnea, crackles in the lung bases, distended neck veins, and an increased blood pressure. The nurse should immediately:" is Option C: Stop the transfusion, elevate the head of the bed, and notify the healthcare provider..

The other options — A) Slow the infusion rate and continue monitoring., B) Stop the transfusion and administer epinephrine., D) Stop the transfusion, obtain a urine sample, and send it to the lab. — are incorrect for this NCLEX-RN Exam Prep question. As explained above: These symptoms indicate circulatory overload, a non-allergic transfusion reaction. The immediate action is to stop the transfusion, elevate the head of the bed to ease breathing, and notify the provi…