病人正在進行輸血，隨後出現下背痛、寒顫與發燒。護理師應優先採取的行動為何？
A client is receiving a blood transfusion and develops low back pain, chills, and fever. Which action is the priority?
- ANotify the laboratory通知檢驗科
- BStop the transfusion immediately✓ 正解立即停止輸血
- CSlow the rate of infusion減慢輸注速度
- DAdminister acetaminophen給予乙醯胺酚
急性溶血性輸血反應（Acute Hemolytic Transfusion Reaction）是由於 ABO 血型不相容，導致輸入的紅血球被受贈者抗體摧毀。典型的臨床表現包含寒顫、發燒、下背痛、心搏過速與低血壓。這是一種致命性併發症，護理師的第一反應必須是立即停止輸血，更換輸液管路並以生理食鹽水維持靜脈通暢，接著通知醫師並保留血液樣本以供檢查。
An acute hemolytic transfusion reaction results from ABO incompatibility, in which the transfused red blood cells are destroyed by the recipient's antibodies. Typical clinical findings include chills, fever, low back pain, tachycardia, and hypotension. Because this is a life-threatening complication, the nurse's first action must be to stop the transfusion immediately, change the IV tubing and maintain venous access with normal saline, then notify the provider and retain the blood sample for testing.