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    Swedish Institute College Of Health Sciences Medical Surgical Proctored Exam
    Select All That Apply

    Which of the following actions should a nurse take during the administration of a blood transfusion to ensure patient safety? Select all that apply.

    Explanation & Rationale

    Rationale: A. This is a critical safety step. The nurse must verify the right patient, blood type, Rh factor, unit number, and expiration date with another qualified professional. This helps prevent life-threatening transfusion reactions, making this correct. B. A 24-gauge catheter is too small for safe blood transfusion in most cases, especially for adults. Blood is typically administered through a larger bore IV (18–20 gauge) to prevent hemolysis and allow adequate flow. Therefore, this is incorrect. C. This is one of the most essential steps in preventing hemolytic transfusion reactions, which can be fatal. Proper compatibility verification is mandatory before starting the transfusion. Therefore, this is correct. D. The nurse must assess IV patency and site condition before initiating the transfusion. Starting without checking may result in infiltration or complications. This is unsafe and incorrect. E. Blood should only be administered with 0.9% normal saline. Dextrose-containing solutions can cause hemolysis or clotting of blood products. Therefore, this is incorrect. F. Informed consent is a legal and ethical requirement before administering blood products. The nurse must ensure that consent has been obtained and documented. Therefore, this is correct.

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