A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.

Which of the following interventions should the nurse include in the plan of care?

Infuse the packed RBC within 4 hours

Infuse dextrose 5% in water during the infusion of packed RBCs.

Store the second unit of blood at room temperature for up to 2 hr.

Administer RBCs using non-filtered IV tubing.

Answer and Explanation

The Correct Answer is A

A.   Packed red blood cells should typically be infused within 4 hours to reduce the risk of bacterial contamination and ensure potency.
B.   Dextrose 5% in water is not typically infused with packed RBCs; the focus is on administering blood products as prescribed.
C.   Blood products are typically stored under controlled conditions and transfused promptly after verification and compatibility checks.
D.   Filtered IV tubing is often used for blood transfusions to minimize the risk of air embolism and particle infusion, but it's not the primary intervention listed for the scenario.

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Correct Answer is B

Explanation

A. Unopened bottles of formula are not typically sources of healthcare-associated infections.
B. Bedside computer keyboards can harbor pathogens and serve as fomites for transmitting infections.
C. Disposable diapers are not typically sources of healthcare-associated infections if used appropriately.
D. Protective plastic gowns are not typically sources of healthcare-associated infections if used appropriately.

A. Stevens-Johnson syndrome B. Hypertension C. Prolonged wound healing D. Bradypnea

Correct Answer is D

Explanation

A. Stevens-Johnson syndrome is a severe, rare, and potentially life-threatening reaction that can occur as a hypersensitivity reaction to certain medications. However, it is not typically associated with morphine use.
B. Morphine is more commonly associated with hypotension rather than hypertension. Therefore, while monitoring for changes in blood pressure is important, hypertension is not a primary concern with morphine administration.
C. Morphine use is not typically associated with prolonged wound healing. However, it can cause respiratory depression, which can indirectly affect wound healing by reducing tissue oxygenation.
D. Morphine is a potent opioid analgesic that can cause respiratory depression, leading to bradypnea (slow breathing) or even respiratory arrest. Monitoring respiratory rate is crucial when administering morphine to detect signs of respiratory depression early and intervene promptly.

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A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

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A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.

Which of the following interventions should the nurse include in the plan of care?