Who's receiving a blood transfusion?

Which nursing intervention takes the highest priority when a client is receiving blood transfusion?
A correct answer is an option -A, monitoring the client for itching, swelling, or dyspnea.

Blood transfusion occurs when there is loss of blood or low blood components (plasma, white blood cell, red blood cells) accidents, surgery, childbirth, a patient suffering from anemia, and others.

It is necessary for the nurse to observe the patient for about 10-20 minutes when blood transfusion has started in order to observe any side effects during a blood transfusion.

Before blood transfusion can occur, it is advisable to check the expiring date and also other basic information needed before blood transfusion.

Some patient usually experiences itching, swelling, and dyspnea during a blood transfusion, which can be said to be an allergic reaction due to the substance present in the donated blood. Immediately these reactions are observed, blood transfusion should be stopped immediately.

There are times when patients need a blood transfusion. This is because they have lost too much blood for one reason or another. Ways of losing blood could be because they were involved in a car accident and they got a large cut or gash where blood is oozing out.

Plus, they may have internal bleeding as well. It is important to control the bleeding and get the person to the hospital as soon as possible. If people are shot multiple times or stabbed multiple times might need a blood transfusion.

However, there are side effects to a blood transfusion. Just because someone got the needed blood, that doesn’t mean they are out of the woods. A nurse would need to help a patient first if this patient is itching, swelling or has dyspnea.

Monitoring the client for itching, swelling, or dyspnea-rationale: because administration of blood or blood products may cause serious adverse effects such as allergic reactions, the nurse must monitor the client for these effects. signs and symptoms of life-threatening allergic reactions include itching, swelling, and dyspnea. although the nurse should inform the client how long the transfusion will take and should document its administration, these actions are less critical to the clients immediate health. the nurse should assess the clients vital signs at least hourly during the transfusion, not just at the conclusion of the transfusion.client needs category: physiological integrityclient needs subcategory: pharmacological and parenteral therapiescognitive level: applicationreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1739.