The nurse is caring for a patient who is postoperative day 2 after an abdominal aortic aneurysm repair. Review of the patient's laboratory results reveals a hemoglobin of 7.6 and hematocrit of 23.1. The doctor has ordered 1 unit of packed red blood cells (PRBCs) to be transfused over 3 hours. After receiving the blood product from the blood bank, the nurse should do which of the following? 

Verify the blood product and patient ID with a second nurse at patient's bedside

Explanation

•When a patient requires transfusion of a blood product, the nurse must always verify that it is the correct product and the correct patient with a second nurse at the patient's bedside prior to administering it.

•The nurse should instruct the patient on possible side effects and what symptoms to report.

•Vital signs including temperature and blood pressure should be assessed prior to administration and 15 minutes after blood product is initiated.

•Hospital-specific policies may require more frequent vital signs monitoring.

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