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 C
Explanation
A) Discontinue cardiac monitoring during the infusion:
Discontinuing cardiac monitoring during the infusion of potassium chloride is unsafe. Potassium infusions can significantly impact cardiac function, so continuous cardiac monitoring is necessary to detect any arrhythmias or other complications.
B) Administer KCI as a rapid IV bolus:
Administering potassium chloride as a rapid IV bolus is contraindicated due to the risk of severe adverse effects, including cardiac arrest. Potassium should be infused slowly to avoid complications.
C) Only give the KCI via a central venous line:
Potassium chloride is ideally administered through a central venous line because it is irritating to veins and can cause damage if given through a peripheral line. A central line reduces the risk of irritation and allows for safer infusion of potassium.
D) Infuse the KCI at a rate of 10 mEq/hour:
Infusing potassium chloride at a rate of 10 mEq/hour is generally too slow for an emergency situation requiring immediate correction of severe hypokalemia. For more urgent cases, higher rates may be required, but only under strict medical supervision to avoid complications.
Correct Answer is C
Explanation
A) Ribs: Ribs are typically not suitable for a mechanical soft diet because they are tough and require chewing. Mechanical soft diets are designed for individuals who have difficulty chewing or swallowing solid foods.
B) Apple: Apples are generally too hard and crunchy for a mechanical soft diet, which is intended to include softer, easier-to-chew foods.
C) Ground beef: Ground beef is appropriate for a mechanical soft diet because it is easier to chew and swallow compared to whole cuts of meat. It is typically tender and does not require extensive chewing.
D) Corn on the cob: Corn on the cob is not suitable for a mechanical soft diet due to its tough and fibrous texture, which can be difficult to chew and swallow for individuals on this type of diet.
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