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NCLEX-PN Exam Practice

Category - Shock

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You are about to administer blood to a patient. You have verified that it is the correct blood for the patient with another nurse. What do you need to assess before you start the blood?
  1. Vital signs
  2. Skin color
  3. Hemoglobin level
  4. Creatinine level
Explanation
Answer: A - The nurse needs to assess vital signs prior to beginning a transfusion. Most transfusion reactions happen in the first 15 minutes of a reaction. It is important for the nurse to have set of baseline vital signs to determine if the patient is having a reaction.
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