A client is experiencing shock related to blood loss. When preparing the client for transfusion, it is the nurse's primary responsibility to:
A)
monitor the client's vital signs.
B)
determine blood loss.
C)
correctly identify the client and the blood.
D)
warm the blood.
C
Explanation:
A)
Before a client can receive blood, blood typing and cross-matching must be done to determine donor and recipient ABO types and Rh group. Verification of correct patient with the matched blood is mandatory. Vital signs will be monitored throughout the transfusion. Blood may be warmed under certain conditions.
Application
Assessment
Physiological Integrity: Reduction of Risk Potential
B)
Before a client can receive blood, blood typing and cross-matching must be done to determine donor and recipient ABO types and Rh group. Verification of correct patient with the matched blood is mandatory. Vital signs will be monitored throughout the transfusion. Blood may be warmed under certain conditions.
Application
Assessment
Physiological Integrity: Reduction of Risk Potential
C)
Before a client can receive blood, blood typing and cross-matching must be done to determine donor and recipient ABO types and Rh group. Verification of correct patient with the matched blood is mandatory. Vital signs will be monitored throughout the transfusion. Blood may be warmed under certain conditions.
Application
Assessment
Physiological Integrity: Reduction of Risk Potential
D)
Before a client can receive blood, blood typing and cross-matching must be done to determine donor and recipient ABO types and Rh group. Verification of correct patient with the matched blood is mandatory. Vital signs will be monitored throughout the transfusion. Blood may be warmed under certain conditions.
Application
Assessment
Physiological Integrity: Reduction of Risk Potential
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