A nurse is monitoring a patient during a blood transfusion. After the blood has been hanging for 30 minutes, the patient’s temperature rises from 98.6°F (37.0°C) at baseline to 101.0°F (38.3°C). The...

A nurse is monitoring a patient during a blood transfusion. After the blood has been hanging for 30 minutes, the patient’s temperature rises from 98.6°F (37.0°C) at baseline to 101.0°F (38.3°C). The patient also experiences severe chills. Which action should the nurse take first? 1. Document the vital signs in the medical record. 2. Administer acetaminophen for the fever. 3. Notify the HCP of the change. 4. Stop the transfusion and hang normal saline solution.