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. Blood verification is always done by two licensed nurses to ensure compatibility between the donor unit and the recipient. This prevents fatal transfusion reactions due to ABO or Rh incompatibility. B. Older adults are at higher risk for fluid overload and transfusion-associated circulatory overload (TACO). Assessing baseline lung sounds helps identify early signs of pulmonary edema or heart failure during the transfusion. C. Sterile gloves are not required for blood administration setup. The nurse should use clean gloves because the blood and tubing are sterile from the manufacturer; sterile gloves are only used for sterile procedures. D. Each unit of packed RBCs should be infused within 2 to 4 hours to prevent bacterial proliferation in the blood. For older adults, infusing more slowly (up to 4 hours) helps prevent fluid overload while still maintaining safety. E. Blood must be primed with 0.9% sodium chloride (normal saline) — not hypotonic saline (0.45%) — because other solutions can cause hemolysis or clotting of red blood cells.