The nurse initiates a blood transfusion for a client.What action should the nurse take next?

Question

Quizplus · Accepted Answer

The nurse should stay with the client and closely observe them for the first 5 to 10 minutes of the transfusion, as this is the period when the client is most likely to experience a transfusion reaction. This will allow the nurse to take immediate action if any adverse reactions occur. Assigning the UAP to sit with the client or advising the client to notify the nurse if they experience any symptoms is not adequate or immediate enough to address potential adverse reactions. Taking vital signs in 15 minutes is also not immediate enough for monitoring potential reactions.

The Nurse Initiates a Blood Transfusion for a Client