A charge nurse is observing a newly licensed nurse administer a unit of packed RBCs to a client. The charge nurse should identify the nurse has completed the procedure correctly when they complete the steps in which order? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Rationale: D. This is the first step because a patent IV site with an appropriate gauge (18- to 20-gauge) is required before obtaining and preparing blood for transfusion. Ensuring the IV is ready prevents delays and complications during administration. A. This is the second step because the nurse must obtain the unit of packed RBCs from the blood bank after confirming the IV site is ready. This ensures the blood is fresh and ready for safe administration. C. This is the third step because verifying the client’s identity and the blood product information against the medical record and arm bracelet is a critical safety check to prevent transfusion errors. E. This is the fourth step because connecting the Y spike of the transfusion tubing to the blood bag prepares the unit for administration. The Y spike allows blood to flow into the IV tubing. B. This is the final step because the nurse initiates the infusion with 0.9% sodium chloride solution. Normal saline is used to prime the line and maintain compatibility with the blood product, ensuring safe transfusion.