A nurse is planning care for a patient who is to receive packed RBCs. The nurse should plan for the total infusion time to not exceed which of the following?
8 hr
6 hr
4 hr
2 hr
The Correct Answer is C
A. 8 hr – Incorrect. RBC transfusions must not exceed 4 hours due to the risk of bacterial growth and hemolysis.
B. 6 hr – Incorrect. Blood products should be infused within a maximum of 4 hours to prevent complications.
C. 4 hr – Correct Answer. The maximum infusion time for packed RBCs is 4 hours to reduce the risk of bacterial contamination and infection.
D. 2 hr – Incorrect. While blood is often infused within 2 hours, the maximum safe limit is 4 hours.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Leave the television on as a distraction – Noise and distractions can increase anxiety and confusion in some patients.
B. Limit patient physical activity – Regular exercise is essential to maintain mobility and prevent muscle atrophy.
C. Provide patient supervision – Clients with Parkinson’s disease are at high risk for falls due to muscle rigidity and balance difficulties. Supervision ensures safety and helps prevent injuries.
D. Speak loudly to the patient – Parkinson’s does not typically cause hearing loss. Speaking clearly and slowly is more effective than speaking loudly.
Correct Answer is A
Explanation
A. Platelets 110,000 mm³ – Correct Answer. A low platelet count (thrombocytopenia) increases the risk of bruising and bleeding. Normal platelet range is 150,000–400,000 mm³.
B. WBC 8,000 mm³ – Normal white blood cell count; does not explain increased bruising.
C. Hemoglobin 13.0 g/dL – Normal hemoglobin level; not related to bruising.
D. RBC 4.6 million/mm³ – Normal RBC count; does not indicate a bleeding risk.
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