Q. Which of the following is the highest priority nursing intervention for a newly admitted patient who is receiving blood transfusion?

(a) Instruct the patient to report any itching, shortness of breath, or chest pain.
(b) Warm the blood to room temperature before transfusion
(c) Documentation of blood transfusion in the patient’s chart
(d) Check the vital signs of the patient every 30 minutes from initiation of blood transfusion till completion.