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What is the nurse’s priority during a patient blood transfusion?
Asked on Dec 03, 2025
Answer
During a patient blood transfusion, the nurse's priority is to monitor for signs of a transfusion reaction, ensuring patient safety and timely intervention. This involves conducting a thorough pre-transfusion assessment, closely observing the patient during the initial 15 minutes, and being prepared to act quickly if any adverse reactions occur.
Example Nursing Steps:
- Step 1 – Verify patient identity and blood product compatibility before starting the transfusion.
- Step 2 – Monitor vital signs and observe the patient closely for any signs of a transfusion reaction, especially during the first 15 minutes.
- Step 3 – If a reaction is suspected, stop the transfusion immediately, maintain IV access with normal saline, and notify the healthcare provider. Document the event and actions taken.
Additional Comment:
- Common signs of a transfusion reaction include fever, chills, rash, dyspnea, and hypotension.
- Always follow the institution's protocol for blood transfusions and reactions.
- Prioritize patient safety by adhering to the "rights" of medication administration: right patient, right blood product, right dose, right time, and right route.
- Document all assessments, interventions, and patient responses accurately.
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