A nurse is planning to administer a unit of PRBCS for a client. Which of the following actions should the nurse plan to take?
Stay with the client for the first 10 min after starting the transfusion.
Flush the transfusion tubing with 5% dextrose in water.
Ensure 2 nurses check the label on the unit of blood.
Administer the blood transfusion over 1 hr.
The Correct Answer is C
A. The correct actions to take include staying with the client for the first 15-30 minutes after starting the transfusion, not just the first 10 minutes, to monitor for any adverse reactions.
B. It is also crucial to use 0.9% sodium chloride solution, not 5% dextrose in water, to flush the transfusion tubing.
C. It is a standard practice to have two nurses check the blood unit label to verify the correct blood type and compatibility before administration.
D. The transfusion should not be rushed over 1 hour; instead, it should be administered over a period of 2-4 hours, depending on the patient's condition and the volume of PRBCs to be transfused.
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Related Questions
Correct Answer is B
Explanation
A. This actually helps prevent thromboembolism by promoting blood flow.
B. Increased body weight can contribute to blood clotting, increasing the risk of thromboembolism.
C. While not impossible, younger individuals are generally at lower risk for thromboembolism compared to older adults.
D. Proper hydration helps maintain blood flow and can reduce the risk of blood clots.
Correct Answer is D
Explanation
A. Obese patients often have decreased lung function due to reduced chest wall compliance and increased abdominal pressure, which can impair respiratory mechanics. This leads to a higher risk of respiratory complications such as hypoventilation, atelectasis, and pneumonia post-surgery.
B. Obesity places additional strain on the cardiovascular system, increasing the risk of cardiovascular events like hypertension, heart attack, and stroke. This strain is compounded during surgery due to increased cardiac workload and potential fluid shifts.
C. Obesity impairs wound healing due to several factors, including decreased oxygenation to tissues, impaired immune function, and increased adipose tissue which can create a moist environment conducive to infection. This increases the risk of postoperative infections.
D. In fact, obesity is associated with an increased risk of blood clots (venous thromboembolism) due to reduced mobility, chronic inflammation, and altered coagulation factors. Obesity does not improve circulation; rather, it often exacerbates venous stasis and clot formation.
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