A nurse is preparing to administer a unit of packed red blood cells (PRBCs) to an adult client with symptomatic anemia. Arrange the following actions in the correct chronological order that the nurse should perform them, from first action to last action.
- 1Prime the Y-type blood administration set with 0.9% sodium chloride.
- 2Verify the blood product and client identity with a second registered nurse at the bedside.
- 3Obtain and document the client's baseline vital signs.
- 4Spike the blood bag and initiate the transfusion at a slow rate.
- 5Remain with the client for the first 15 minutes of the transfusion.
Cevap
The correct sequence is: prime the tubing with normal saline, verify the blood product with a second nurse, obtain baseline vital signs, initiate the transfusion slowly, and remain with the client for the first 15 minutes.
Safe administration of packed red blood cells requires strict adherence to a standardized sequence to prevent fatal errors and manage adverse reactions. The equipment must first be primed with normal saline, the only compatible fluid. Next, mandatory bedside verification by two nurses ensures the right blood goes to the right client. Baseline vitals must then be obtained immediately before starting the flow. The infusion is initiated slowly to limit exposure in case of an error, and the nurse must remain with the client for the first 15 minutes when acute, life-threatening reactions are most likely to occur.
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Blood Product Administration Sequence and Safety
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