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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis.
B. Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration.
C. Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis.
D. Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.
Correct Answer is B
Explanation
Rationale:
A. Maintaining extended eye contact may be challenging for children with autism spectrum disorder, as they may have difficulty with social interaction and communication.
B. Establishing a reward system is beneficial for children with autism spectrum disorder as it provides positive reinforcement for desired behaviors, helping to encourage and maintain them.
C. Engaging in cooperative play might be difficult for a child with autism spectrum disorder due to challenges in social interaction and communication.
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