A patient's low hemoglobin level has necessitated transfusion of PRBCs. Prior to administration, what action should the nurse perform?
A) Have the patient identify his or her blood type in writing.
B) Ensure that the patient has granted verbal consent for transfusion.
C) Assess the patient's vital signs to establish baselines.
D) Facilitate insertion of a central venous catheter.
Ans: C
Feedback:
Prior to a transfusion, the nurse must take the patient's temperature, pulse, respiration, and BP to establish a baseline. Written consent is required and the patient's blood type is determined by type and cross match, not by the patient's self-declaration. Peripheral venous access is sufficient for blood transfusion.
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