A nurse is monitoring a client who is receiving packed RBCs. The nurse identifies which of the following as an expected finding?
A medication is being administered IV through the injection site closest the client.
The blood has been infusing steadily for 5 hr with no client symptoms.
The packed RBCs are connected by Y tubing to normal saline.
The drip chamber with filter is filled completely with blood.
The Correct Answer is C
A. Medications and blood should never be mixed in the same line because it can cause reactions, interference with the blood product, and complications for the client. Medications should be administered through a separate IV line or a port further away from the client.
B. Blood transfusions should typically be completed within 2 to 4 hours to reduce the risk of bacterial contamination and ensure that the blood does not exceed a safe infusion duration.
C. Y tubing is commonly used for blood transfusions, where one arm of the Y is used for the packed RBCs and the other is for normal saline. Normal saline is used to flush the line before and after administering blood, ensuring the infusion is free of air and that the blood flows smoothly without clotting.
D. The drip chamber should not be completely filled with blood. It should have a small amount of blood for monitoring the infusion rate, but the filter within the drip chamber is designed to filter any clots or debris. A completely filled chamber with blood can make it difficult to assess the flow rate, and could indicate that the blood is not flowing properly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
No explanation
Correct Answer is D
Explanation
Correct answer: D
A. Shortened QT intervals are not typically associated with hypocalcemia. Instead, prolonged QT intervals may be seen.
b.This is not typically associated with hypocalcemia. Instead, hypocalcemia usually causes hyperactive deep tendon reflexes due to increased neuromuscular excitability.
c.Constipation is not a specific finding related to hypocalcemia. Hypocalcemia can affect smooth muscle function, but constipation is not a commonly reported symptom.
d.This is a common symptom of hypocalcemia. Low calcium levels affect the nerves and muscles, leading to sensations of tingling, numbness, or even muscle cramps and spasms, particularly in the extremities and around the mouth.
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