The nurse administering a blood transfusion is aware that which of the following is the most important nursing action to prevent a transfusion reaction?
A.
Checking the provider's orders for transfusion
B.
Identifying the patient with two unique identifiers
C.
Monitoring vital signs per protocol
D.
Staying with patient for the first 15 minutes
ANS: B
All actions are important when administering blood products. However, to prevent a transfusion reaction, accurate patient identification using two unique identifiers (and two nurses) is critical. The nurse should check the orders prior to proceeding. Staying with the patient and monitoring vital signs will not help prevent a reaction but will help identify one quickly.
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