What primary intervention should a nurse who is preparing a blood transfusion perform?
A)Set up the Y tubing.
B)Obtain 0.9% saline.
C)Verify the blood product and the patient.
D)Have the patient void or empty the urine drainage container.

Question

Quizplus · Accepted Answer

Correctly verify the product and identify the patient with a person considered qualified by your agency.Strict adherence to verification procedures before administration of blood or blood components reduces the risk of administering the wrong blood to the patient.Clerical errors are the cause of most hemolytic transfusion reactions.Y tubing is used to facilitate maintenance of intravenous (IV)access in case a patient will need more than 1 unit of blood.However,the focus here is on prevention of possible blood reactions.Use of Y tubing will not prevent a blood reaction.Normal saline is compatible with blood products,unlike solutions that contain dextrose,which causes coagulation of donor blood.However,strict adherence to verification procedures before administration of blood or blood components reduces the risk of administering the wrong blood to the patient.Empty the urine drainage collection container or have the patient void.If a transfusion reaction occurs,a urine specimen containing urine produced after initiation of the transfusion will be sent to the laboratory.

What Primary Intervention Should a Nurse Who Is Preparing a Blood