Author Question: After obtaining a unit of packed red blood cells for a client, the nurse learns the client needed to ... (Read 106 times)

WWatsford · **on:** Jul 23, 2018

After obtaining a unit of packed red blood cells for a client, the nurse learns the client needed to leave the care area for an emergency x-ray. What action should the nurse take?

1. Set up the blood with the IV fluid and y-tubing and place it on the IV standard in the client's room to initiate immediately after the client returns.
2. Place the blood in the unit refrigerator until the client returns.
3. Return the blood to the laboratory blood bank until the client returns.
4. Set up the blood with the IV fluid and y-tubing and place it in the unit medication room to initiate immediately after the client returns.

Question 2

The nurse is collecting equipment to administer a unit of packed red blood cells. Which IV fluid should be used to initiate the IV for this transfusion?

1. 1,000 mL of lactated Ringer's solution
2. 250 mL of normal saline
3. 500 mL of 5 dextrose and water
4. 100 mL of 5 dextrose and 1/2 normal saline

polinasid · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Blood should not be held at room temperature for more than 30 minutes before the transfusion is initiated.
Rationale 2: The unit refrigerator is not climate controlled for blood storage.
Rationale 3: Blood should not be held at room temperature for more than 30 minutes before the transfusion is initiated. The unit must be returned to the laboratory blood bank until the client has returned from the CT.
Rationale 4: Blood should not be held at room temperature for more than 30 minutes before the transfusion is initiated.

Answer to Question 2

Correct Answer: 2
Rationale: Blood and blood products should only be administered with normal saline. Other IV fluids may cause damage to the cells being administered.