The nurse reviews the entries in the medical record Exhibits The nurse is ready to begin the blood transfusion. For each potential nursing action, click to specify if the action is indicated or not indicated for the client.

Stay with the client for the first 15 min of the transfusion.

Obtain the first unit of packed RBCs from the blood bank.

Document the blood product transfusion in the client's medical record.

Start an IV bolus of lactated Ringers solution.

Titrate the rate of infusion to maintain the client's blood pressure at least 90/60 mm Hg 4