A 46-year-old patient was admitted to the medical ward with severe anemia.Blood transfusion was started immediately. After 15 minutes of transfusion the patient complains dyspnea chills headache and anxious. Patient's Temperature was 38.5^circ C pulse rate 105/min, respiratory rate 26/min and his blood pressure was 80/50mmHg What is the priority nursing intervention for this patient? a. Check the expiration date of blood product b. Report to physician c. Decrease the transfusion rate d. Stop the transfusion A 35-year-old female patient came to an emergency cough, sore throat and increased body temperature On physical examination, the patient has conjunctivitis. The nurse suspected the case might be measles. What additional clinical feature is important to confirm this diagnosis? a. Koplik spots on the buccal mucosa b. Generalized reddish skin rash c. Acute otitis media d. Acute diarrhea

1. The priority nursing intervention for the patient with severe anemia who develops symptoms such as dyspnea, chills, headache, and anxiety after starting a blood transfusion is to stop the transfusion (option d). This is because the symptoms described are indicative of a transfusion reaction, which is a serious and potentially life-threatening complication. Stopping the transfusion is the first step in managing this reaction and preventing further harm to the patient.<br /><br />2. The additional clinical feature that is important to confirm the diagnosis of measles is the presence of Koplik spots on the buccal mucosa (option a). Koplik spots are small, white spots that appear on the inner lining of the cheeks, opposite the molars, and are a characteristic sign of measles. They typically appear before the onset of the rash and can help differentiate measles from other viral illnesses with similar symptoms.