The nurse prepares to administer blood through the client's new peripherally inserted central catheter (PICC). Which is the nurse's priority intervention?
1. Verify the PICC placement with an x-ray.
2. Attach a pressure bag over the blood bag.
3. Measure client vital signs for baseline data.
4. Infuse normal saline solution into the PICC.
1
1. Before infusing the blood or any other significant volume of fluid, the nurse veri-fies PICC placement to ensure its position in the superior vena cava or right atrium and to document baseline status of the client with the PICC. This is the most impor-tant nursing intervention because the infusion cannot begin safely without confirming the placement.
2. The nurse primes the blood tubing and PICC with normal saline solution because blood is incompatible with other IV fluids containing dextrose.
3. The nurse attaches the pressure bag to facilitate the transfusion because blood tends to become more viscous as hang time increases.
4. The nurse measures the client's vital signs to begin the transfusion; however, if the PICC line is placed incorrectly, the nurse will withhold the blood.
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