A dialysis patient requiring a blood transfusion is being monitored. Which symptom should be reported immediately?

The symptom of back pain accompanied by chills is significant and should be reported immediately during a blood transfusion. This combination may indicate a serious transfusion reaction, such as an acute hemolytic reaction, which can occur when the patient's immune system reacts to the transfused blood. This type of reaction often presents with symptoms like severe back pain, fever, chills, and respiratory distress.

In a patient undergoing hemodialysis, being vigilant about signs of transfusion reactions is paramount, as these patients may already have compromised health. Recognizing the urgency of back pain with chills allows healthcare providers to take swift action, potentially addressing the reaction before further complications arise.

Other symptoms, while they may require monitoring, do not indicate the immediate danger that back pain with chills does. Skin blotches might suggest an allergic reaction, feeling tired and fatigued is common for hemodialysis patients due to their condition, and minimal urine output can be expected, especially in patients with renal issues. However, the immediate risk associated with a transfusion reaction makes back pain with chills the priority for immediate reporting.