A nurse is preparing to administer a unit of packed red blood cells (PRBCs) to an adult client with symptomatic anemia. Which of the following interventions should the nurse implement to ensure safe administration? Select all that apply.
- Verify the client's identification band and the blood product label with another registered nurse at the bedside.Cevap
- Prime the Y-type blood administration tubing exclusively with 0.9% sodium chloride.Cevap
- Remain in the client's room to closely monitor for adverse reactions during the first 15 minutes of the transfusion.Cevap
- DPiggyback the client's scheduled intravenous ceftriaxone into the blood administration line.
- EDelegate the baseline and 15-minute vital sign assessments to the unlicensed assistive personnel (UAP).
- FCalculate the IV infusion rate to complete the blood administration over a 6-hour period.
Cevap
The correct interventions for safe blood administration include verifying the client and product with another registered nurse, priming the tubing with 0.9% sodium chloride, and remaining with the client for the first 15 minutes of the transfusion.
Safe administration of packed red blood cells requires strict adherence to protocols. Verifying the blood product and client identity with a second registered nurse ensures ABO compatibility. Priming the administration set with 0.9% sodium chloride is mandatory because it is the only isotonic fluid that does not cause hemolysis or clotting of the blood product. Remaining with the client for the first 15 minutes is crucial because this is the window when life-threatening hemolytic or anaphylactic reactions are most likely to occur.
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Safe Administration of Blood Products