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

1
Warm the blood at room temperature before transfusion.
2
Instruct the client to report any itching, shortness of breaths or chest pain.
3
Documentation of blood transfusion in the client's chart
4
Check the vital sign of the client every 45 minutes from starting to till completion of the blood transfusion.

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