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.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. The child's throat pain is expected post-tonsillectomy and can be managed using analgesics or an ice collar. However, this is not a priority finding compared to frequent swallowing which may indicate bleeding which is a life-threatening complication of tonsillectomy.
B. Refusing clear liquids may indicate discomfort but is not as urgent as a potential increase in throat pain.
C. Crying often may be a response to discomfort but does not necessarily indicate a complication requiring immediate intervention.
D. This assessment finding indicates that the child might have bleeding in the throat, which is a life-threatening complication of tonsillectomy. The nurse should
Correct Answer is ["A","C","D","F","G"]
Explanation
A. Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin.
B. Atopic dermatitis is not contagious, so this statement is incorrect.
C. Applying emollients (moisturizers) to the child's skin after bathing can help hydrate the skin and reduce itching.
D. Using a mild detergent for the child's laundry can help minimize skin irritation.
E. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Atopic dermatitis often has periods of exacerbation (flare-ups) followed by periods of improvement.
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