A nurse is preparing to administer 2 units of packed RBCs to a client.

Which of the following actions should the nurse take?

Transfuse each unit of blood over 5 hr.

Change the IV tubing after each unit of blood is transfused.

Prime the tubing with 0.9% sodium chloride.

Administer the blood through a 22-gauge intravenous catheter.

Answer and Explanation

The Correct Answer is C

When administering packed RBCs, the tubing should be primed with 0.9% sodium chloride.
Transfusing each unit of blood over 5 hours (choice A) is not recommended as it may increase the risk of bacterial growth.
Packed RBCs should be transfused over 2 to 3 hours.
Changing the IV tubing after each unit of blood is transfused (choice B) is not necessary.
Administering the blood through a 22-gauge intravenous catheter (choice D) may not be appropriate as a larger gauge catheter is typically used for blood transfusions.

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Correct Answer is B

Explanation

A full-thickness burn injury can result in fluid loss and low blood volume (hypovolemia), which can lead to hypotension.

Choice A, Urinary diuresis, is not the correct answer because it refers to increased production of urine and is not a common symptom of a full-thickness burn injury.
Choice C, Decreased respiratory rate, is not the correct answer because it refers to a decrease in the number of breaths per minute and is not a common symptom of a full-thickness burn injury.

Choice D, Bradycardia, is not the correct answer because it refers to a slow heart rate and is not a common symptom of a full-thickness burn injury.

A. "Itching indicates you are having an allergic reaction to the medication.". B. "Monitor urinary output for retention.". C. "Restrict fluid intake if you experience constipation.". D. "Avoid taking antiemetics with the medication.".

Correct Answer is B

Explanation

“Monitor urinary output for retention.” Urinary retention is a common side effect of opioid use and should be monitored.
Choice A is not correct because itching can be a side effect of opioids and does not necessarily indicate an allergic reaction.
Choice C is not correct because restricting fluid intake can worsen constipation.
Choice D is not correct because antiemetics may be prescribed to manage nausea and vomiting, which are common side effects of opioids.

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A nurse is preparing to administer 2 units of packed RBCs to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is preparing to administer 2 units of packed RBCs to a client.

Which of the following actions should the nurse take?