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The Nurse Has Initiated a Blood Transfusion

Question 25

Multiple Choice

The nurse has initiated a blood transfusion. Which action is now priority?


A) Return to the room and take a set of vital signs in 15 minutes.
B) Assign the Assistant in Nursing (AIN) to sit with the client for 15 minutes.
C) Stay with the client and closely observe him for the first five to 10 minutes of the transfusion.
D) Advise the client to notify the nurse if he experiences any chilling, nausea, flushing, or rapid heart rate.

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