NursingPlex
    Sign In
    RN Comprehensive Predictor 2023 Proctored Exam

    A nurse is preparing to administer a blood transfusion to a client. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Prime the tubing with 0.9% sodium chloride: Normal saline is the only compatible solution used to prime blood transfusion tubing. It prevents clotting or hemolysis and ensures that blood components are not damaged during administration. B. Attach a single-line administration set: A Y-type or dual-line administration set with a filter is required for safe transfusion. Single-line sets do not allow simultaneous saline flushing, which is necessary during transfusion to prevent clotting and maintain patency. C. Use an IV catheter that is at least 24 gauge: While a 24-gauge catheter can be used in pediatric clients, adults require at least an 18–20 gauge catheter to prevent hemolysis and ensure rapid infusion of blood products when needed. D. Use tubing that does not have a filter in the drip chamber: Blood administration sets must include a filter to trap clots and debris. Using tubing without a filter increases the risk of transfusion-related complications such as embolism or febrile reactions.

    🔒 Submit your answer to reveal