Difficulty: Medium
Average Score: 87%
Simulated
A nurse is assisting in the care of a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take?
Correct answer
A
Rationale
Checking the client's blood type and crossmatch in the medical record ensures compatibility, preventing transfusion reactions. Blood should not be kept at room temperature, dextrose causes hemolysis, and vital signs are checked before, at 15 minutes, and after, not hourly.