Certified Nurses Operating Room (CNOR) Practice Exam

What is the first step in case of a blood transfusion reaction?

1. Report to the surgeon

2. Stop the transfusion

3. Replace the tubing

4. Administer emergency drugs

The correct answer is: Stop the transfusion

Stopping the transfusion immediately is the critical first step when a blood transfusion reaction occurs. This action is paramount because it prevents further exposure to the incompatible blood product, which could exacerbate the patient's reaction and lead to more severe complications. By halting the transfusion, the healthcare provider can also begin to assess the patient’s condition and initiate appropriate interventions. Following the cessation of the transfusion, it is essential to maintain venous access with normal saline to ensure the patient stays stable and to facilitate any further treatments that may be necessary. After stopping the transfusion, the healthcare team can then proceed with reporting the incident, replacing the tubing, and administering emergency medications as required. However, these steps are dependent on the initial action of stopping the transfusion. This process prioritizes patient safety and minimizes the risk of further complications.