If a transfusion reaction is suspected, what should the nurse do with the IV line?

When a transfusion reaction is suspected, the appropriate action regarding the IV line is to keep it open with saline. This is crucial for a couple of reasons. First, maintaining venous access is essential for urgent interventions that may be required, such as administering medications or additional fluids to stabilize the patient. If the IV line is turned off or flushed with sterile water, access to critical monitoring and treatment may be compromised.

Furthermore, keeping the IV line open with saline allows for the potential diluting of any potentially harmful substances that are being transfused, which could mitigate the severity of the reaction until further actions are taken. It also provides a secure line for healthcare providers to continue monitoring the patient's condition and to administer fluids or medications as needed, ensuring a prompt and appropriate response to the transfusion reaction.