Which of the following should be included in the documentation of a transfusion reaction?

Including the nursing interventions taken during a transfusion reaction in the documentation is crucial for several reasons. First, it provides a clear record of the immediate actions taken to address the reaction, which is essential for ongoing patient care and for informing other healthcare providers about how the situation was managed. Detailed documentation of interventions ensures that the response to the adverse event is traceable, which is important for both legal protection and quality assurance within the healthcare system.

Additionally, proper documentation of nursing interventions allows for better monitoring of the patient and potential recurrence of similar reactions in the future. This aspect of care emphasizes the importance of nurses being vigilant and responsive in critical situations, showcasing their role in patient safety and advocacy.

Documentation of a transfusion reaction serves not only as a medical record but also as part of a broader patient safety initiative. Therefore, the correct answer highlights the importance of action and response protocol following a reaction, underscoring the critical nature of nursing responsibilities during such events.