The patient is to receive 2 units of packed red blood cells (RBCs) .Before administering the blood,what does the nurse need to do? (Select all that apply. )

A) Insert an 18-gauge intravenous (IV) cannula.
B) Have the patient complete a consent form.
C) Obtain pretransfusion vital signs.
D) Notify the physician for a temperature of 37°C.

Question

Lanica Veira · Accepted Answer

Final Answer : B,C, Explanation :  In emergency situations that require rapid transfusions,a large-gauge cannula is preferred;however,transfusions for therapeutic indications may be infused with cannulas ranging from 20 to 24 gauge.Check that the patient has properly completed and signed transfusion consent before retrieving blood.Most agencies require patients to sign consent forms before receiving blood component therapy because of the inherent risks.Obtain and record pretransfusion vital signs,including temperature,immediately before initiation of the transfusion.If the patient is febrile (temperature greater than 100°F [37.8°C]),notify the physician or the health care provider before initiating the transfusion.Change from baseline vital signs during infusion will alert the nurse to a potential transfusion reaction or adverse effect of therapy.

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