hard · NCLEX-RN pharmacology
The nurse suspects an acute hemolytic transfusion reaction. Sequence the immediate nursing actions in the correct chronological order from first to last.
- Stop the blood transfusion immediately.
- Disconnect the blood administration tubing from the IV hub and connect a new infusion of 0.9% normal saline with new tubing.
- Obtain a complete set of vital signs and perform a focused cardiorespiratory assessment.
- Notify the primary healthcare provider and the hospital blood bank of the reaction.
- Return the remaining blood product, administration set, and completed transfusion reaction form to the blood bank.
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