Which is the most important nursing intervention during preparation for a blood transfusion?
1. Prepare normal saline solution.
2. Obtain and prime the Y tubing.
3. Provide client with information.
4. Identify blood product and client.
4
4. The most important nursing intervention during preparation for blood administra-tion is to identify the client and the blood products according to agency policy and by two or more client identifiers. Accurate identification decreases the risk of client injury, infection, sepsis, or death from client-blood mismatch.
1 and 2. The nurse primes the Y tubing with normal saline solution because blood products are incompatible with other IV solutions.
3. The nurse takes adequate time for client teaching before the blood transfusion and allows the client to make a thoughtful decision about receiving blood products.
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