護理師執行輸血作業，下列哪些行為是適當的？（選所有適合的）
A nurse is administering a blood transfusion to a client. Which nursing actions are appropriate? (Select all that apply.)
- AVerify the blood product with another nurse at the bedside✓ 正解在床旁與另一位護理師共同查對血液製品
- BUse a Y-tubing set with an inline filter✓ 正解使用帶有線上過濾器的Y型管組
- CStart the transfusion at a rapid rate for the first 15 minutes在前15分鐘以快速速率開始輸血
- DMonitor for signs of transfusion reactions throughout the procedure✓ 正解在整個過程中監測輸血反應的跡象
- EFlush the IV line with 0.9% Normal Saline before and after the blood product✓ 正解在血液製品輸注前後以0.9%生理食鹽水沖洗靜脈通路
輸血作業為高風險護理，必須由兩人核對病人資料與血液標籤。輸血過程須全程監測，前 15 分鐘應緩慢滴注以觀察過敏反應。Y 型管含過濾網為標準配備，且只能搭配生理食鹽水，不可混入其他藥物。C 項錯誤，前 15 分鐘必須慢速觀察，而非快速給予。
Blood transfusion is a high-risk nursing procedure; two qualified nurses must verify the client's information and the blood product label together. The transfusion must be monitored throughout, and the rate should be slow during the first 15 minutes to allow observation for allergic reactions. Y-tubing with an inline filter is standard equipment, and the blood may only be administered with normal saline; other solutions or medications must not be mixed. Option C is incorrect; the first 15 minutes must be slow rather than rapid.
美國醫院常見護理師雙人核對系統；台灣臨床亦要求雙人核對，兩地輸血安全規範高度一致，均嚴禁輸血管路走其他藥物。