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What is the priority nursing action for a patient experiencing a blood transfusion reaction?
Asked on Feb 18, 2026
Answer
When a patient experiences a blood transfusion reaction, the priority nursing action is to immediately stop the transfusion to prevent further exposure to the potentially harmful blood product. This is crucial to ensure patient safety and minimize adverse effects.
Example Nursing Steps:
- Step 1 – Stop the blood transfusion immediately and maintain the IV line with normal saline using new tubing.
- Step 2 – Assess the patient's vital signs and symptoms, and notify the healthcare provider and blood bank.
- Step 3 – Document the reaction, interventions, and patient response, and follow facility protocols for transfusion reactions.
Additional Comment:
- Always prioritize stopping the transfusion first to prevent further complications.
- Monitor for signs of anaphylaxis or other severe reactions, and be prepared to administer emergency medications if ordered.
- Ensure all actions and findings are clearly documented for legal and clinical purposes.
- Use the ABCs (Airway, Breathing, Circulation) framework to assess and address any life-threatening symptoms promptly.
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