A nurse is monitoring a client who began receiving a unit of packed RBCs 10 min ago. Which of the following findings should the nurse identify as an indication of a febrile transfusion reaction? (Select all that apply.)
A. Temperature change from 37 (98.6) pretransfusion to 37.2 (99.0)
B. Current blood pressure 178/90 mm Hg
C. Heart rate change from 88/min pretransfusion to 120/min
D. Client report of itching
E. Client appears flushed