A nurse is caring for a client with severe anemia. The provider placed an order for one unit of packed red blood cells (PRBCs) x 1 now. The nurse should anticipate the blood will be completely infused after how much time?
8 hr
4 hr
6 hr
2 hr
The Correct Answer is D
A. 8 hr - Infusing one unit of packed red blood cells (PRBCs) over 8 hours is too long. Typically, PRBCs are infused over a shorter period to avoid complications.
B. 4 hr - Infusing PRBCs over 4 hours is still within acceptable limits, but the standard time for PRBC transfusion is usually shorter.
C. 6 hr - Infusing PRBCs over 6 hours is longer than usual. The recommended duration for infusing one unit of PRBCs is generally shorter.
D. 2 hr - The standard time to infuse one unit of PRBCs is typically between 1.5 to 2 hours. This duration helps ensure the effective delivery of red blood cells while minimizing the risk of transfusion reactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Mashed potatoes:
Mashed potatoes are an appropriate choice for a soft diet as they are easy to chew and swallow. A soft diet typically includes foods that are tender, moist, and easy to digest, which helps in minimizing difficulty while eating.
B) High-fiber cereals:
High-fiber cereals are not suitable for a soft diet. They can be hard and difficult to chew, and the high fiber content might irritate the digestive tract, making them less ideal for individuals on a soft diet.
C) Fruit with the skin:
Fruits with the skin can be difficult to chew and digest, especially for those on a soft diet. The skin of fruits can be tough and may not be appropriate for someone needing a diet with soft, easily manageable foods.
D) Raw vegetables:
Raw vegetables are typically hard and require thorough chewing, which makes them unsuitable for a soft diet. Soft diets require foods that are tender and easy to chew, so raw vegetables do not meet these criteria.
Correct Answer is C
Explanation
A) The client is reporting constipation:
Constipation is a common issue with enteral feeding, often due to decreased fluid intake or lack of fiber. While it is important to manage constipation to improve comfort and bowel function, it is not as urgent as dealing with vomiting.
B) The client reports being thirsty:
Thirst can be a sign of dehydration or inadequate fluid intake. Although it should be addressed to ensure proper hydration, it is less critical compared to vomiting, which poses immediate risks.
C) The client is vomiting the enteral formula:
Vomiting is a priority concern because it can lead to aspiration, dehydration, electrolyte imbalances, and further complications. Addressing the cause of vomiting and managing it promptly is crucial for the client’s safety.
D) The client is experiencing abdominal cramping:
Abdominal cramping can be related to the feeding rate, type of formula, or intolerance. While it requires attention, it is less urgent than addressing vomiting, which could have more immediate and serious consequences.
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