The nurse initiates a blood transfusion for a client. What action should the nurse take next? 1. ...

Correct Answer: 1
Rationale 1: The nurse should stay with the client and closely observe him for the first 5 to 10 minutes of the transfusion.
Rationale 2: The nurse cannot delegate this assessment to the UAP.
Rationale 3: The client should be advised of reactions to report, but this self-reporting is more indicated after the nurse is no longer in constant attendance.
Rationale 4: The nurse should stay with the client and closely observe him for the first 5 to 10 minutes of the transfusion. The nurse cannot delegate this assessment to the UAP.