A nurse is planning to administer 2 units of packed RBCs to an older adult client who has anemia. Which of the following actions should the nurse plan to take? (Select all that apply.)

A. Prime the infusion tubing with 0.45% sodium chloride: Blood products should never be infused with hypotonic solutions like 0.45% sodium chloride, as this can cause hemolysis. Only 0.9% sodium chloride (normal saline) is safe for priming blood tubing. B. Infuse the blood over 4 hr: Transfusion for older adults should generally be completed within 2–4 hours per unit to prevent fluid overload while allowing safe administration. Monitoring for signs of transfusion reactions or circulatory overload is critical. C. Verify with another nurse that the unit of blood is compatible with the client's blood type: Independent verification by two qualified nurses ensures correct blood type and crossmatch, reducing the risk of hemolytic transfusion reactions. D. Don sterile gloves to prepare the blood administration setup: Sterile gloves are not required for routine blood administration; clean gloves are sufficient to maintain standard precautions. E. Assess the client's lung sounds prior to the infusion: Baseline lung assessment helps identify preexisting conditions such as fluid overload or pulmonary congestion, which is important for older adults at risk for transfusion-associated circulatory overload (TACO).