Which step is NOT typically included in the protocol following a blood transfusion reaction?

In the context of managing a blood transfusion reaction, it is crucial to follow a specific protocol to ensure patient safety and effective intervention. While monitoring vital signs, informing the physician, and collecting a urine sample are standard procedures, initiating fluid therapy is not a typical initial step in response to a transfusion reaction.

The correct choice reflects that starting fluid therapy is not a necessary first response and is not consistently included in the standard protocol. Instead, the immediate actions focus on assessment and reporting, such as monitoring vital signs for any significant changes, which can indicate the severity of the reaction, and contacting the medical doctor to provide essential updates and recommendations for further management. Collecting a urine sample may assist in identifying hemolysis or other complications, while fluid therapy might be considered later if deemed necessary based on the patient’s condition and the physician’s orders.

Understanding these steps is integral for ensuring proper reaction management and maintaining patient safety during such potentially critical situations.