What is an important nursing action when administering blood transfusions?

Staying with the client for the first 15 minutes of a blood transfusion is essential because this period is when the risk of adverse reactions is highest. During this time, the nurse can closely monitor for any signs of transfusion reactions, such as fever, chills, rash, or back pain, which may indicate complications like hemolytic reactions or allergic responses. Prompt recognition of these symptoms allows for immediate intervention, potentially mitigating serious outcomes.

Monitoring vital signs is crucial throughout the transfusion process, but especially during the initial 15 minutes. This enables the nurse to establish a baseline and track any changes that could indicate a reaction. It is a critical nursing action to ensure the client’s safety and well-being during this procedure.

Additionally, administering medications through the same line is not appropriate as it can lead to complications such as incompatibility or infusion of inappropriate substances alongside blood products. Referring to the physician for every change in the client's condition might delay necessary interventions, as nurses are expected to act on their assessment and provide immediate care as needed. Hence, staying with the client initially is a best practice that emphasizes vigilance and responsiveness to the patient's needs during a potentially risky procedure like a blood transfusion.