Difficulty: Medium
Average Score: 71%
Simulated
A nurse is caring for a client who is receiving a unit of packed RBCs. Which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct answer is A: Verify the client's identity with another nurse. This is crucial to ensure that the right blood product is being administered to the correct patient, preventing any potential errors. Verifying the client's identity with another nurse is a standard safety protocol in blood transfusions. Option B is incorrect because packed RBCs are typically administered over a shorter period, not 6 hours. Option C is incorrect as IV tubing should be primed with normal saline, not 0.45% sodium chloride. Option D is incorrect as vital signs should be checked more frequently during the transfusion, not just 1 hour after it starts.