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 him for the first 5 to 10 minutes of the transfusion to monitor for any adverse reactions such as fever, chills, hives, rash, itching, shortness of breath, rapid heartbeat or changes in blood pressure. This is a critical safety measure that helps the nurse detect any problems early and prevent potential complications. Assigning the UAP or advising the client to notify the nurse are not sufficient actions because they do not provide timely monitoring and intervention. Taking vital signs in 15 minutes may be appropriate after the first 5-10 minutes of continuous observation, but it does not replace the need for initial close observation.

The Nurse Initiates a Blood Transfusion for a Client