After hanging a unit of packed red blood cells, how long should the nurse stay with the client?

The correct answer emphasizes the importance of patient safety and monitoring during the initial phase of a blood transfusion. Following the administration of packed red blood cells, it is crucial for the nurse to stay with the client for the first 15 minutes. This initial monitoring period is critical because adverse reactions are most likely to occur during this timeframe.

During these 15 minutes, the nurse should closely observe the client for any signs of transfusion reactions, such as fever, chills, rash, or difficulty breathing. If a reaction occurs, prompt recognition and intervention are vital to ensure the patient's safety. Monitoring during this period allows for immediate action if any complications arise, thereby minimizing potential harm.

Understanding the rationale behind this specific duration also highlights the balance between patient safety and nursing resources. While prolonged monitoring is necessary throughout the transfusion, the first 15 minutes are particularly crucial for identifying acute reactions. After this period, the client can generally be monitored less intensively, as the risk of immediate, severe reactions diminishes, though ongoing vigilance remains important.