護理師正在照護一位接受輸血的病人，病人突然出現蕁麻疹、搔癢和輕微發燒。護理師應優先採取哪項措施？
A nurse is managing a client receiving a blood transfusion. The client suddenly develops hives, itching, and a mild fever. Which action should the nurse take first?
- ANotify the healthcare provider immediately立即通知醫療提供者
- BSlow the rate of transfusion減慢輸血速率
- CStop the transfusion and flush the IV line with normal saline✓ 正解停止輸血並用生理食鹽水沖洗靜脈管路
- DAdminister acetaminophen (Tylenol)給予乙醯胺酚（Tylenol）
輸血反應（Transfusion Reaction）是危急狀況。一旦病人出現蕁麻疹、搔癢、發燒等過敏反應徵兆，護理師必須立即停止輸血，這是為了阻斷後續過敏原的進入。隨後使用生理食鹽水沖洗管路，是為了維持靜脈管路通暢，同時避免殘留在管路中的血液繼續進入體內。這是臨床護理流程中，保護病人安全的最優先步驟。
Transfusion reactions are critical situations. Once the client develops signs of an allergic reaction such as hives, itching, or fever, the nurse must stop the transfusion immediately to halt further antigen exposure. The IV line is then flushed with normal saline to maintain venous access while preventing residual blood in the tubing from continuing to enter the body. This is the highest priority step in the clinical nursing protocol for protecting patient safety.