The nurse gathers supplies to administer a unit of packed red blood cells to a client. Which type of tubing should be used for packed red blood cells?
Primary tubing
Micro-drip tubing
Secondary tubing
Y-site tubing
The Correct Answer is A
Choice A reason:
Primary tubing, specifically blood administration tubing with a filter, is used to transfuse packed red blood cells safely. This tubing ensures that any clots or debris are filtered, and it allows proper control of infusion rate according to transfusion protocols.
Choice B reason:
Micro-drip tubing is used for precise administration of small-volume IV fluids, usually less than 100 mL per hour, not for blood products. Using micro-drip tubing for blood could damage red blood cells or delay transfusion.
Choice C reason:
Secondary tubing is typically used for piggyback IV medications connected to a primary line. It is not designed for blood transfusions, as it lacks the necessary filter and diameter for safe administration of blood components.
Choice D reason:
Y-site tubing allows simultaneous infusion of compatible IV fluids but is not appropriate for blood transfusions due to risk of contamination and hemolysis. Blood products must be administered using dedicated, filtered primary tubing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Teaching clients, especially regarding medications such as insulin, requires nursing judgment, assessment of understanding, and evaluation of learning. This responsibility falls within the scope of practice of a licensed nurse, not UAP.
Choice B reason:
Sterile wound care requires clinical judgment, assessment of the wound, and evaluation for signs of infection. These tasks are outside the scope of practice for UAP and must be performed by a licensed nurse.
Choice C reason:
Assisting a stable client with ambulation is a routine, noninvasive task that does not require nursing assessment or clinical judgment. This is an appropriate delegation to UAP, provided the client is stable and mobility assistance has been deemed safe.
Choice D reason:
Assessing lung sounds involves interpretation of clinical findings and evaluation of respiratory status, which are components of nursing assessment. This task must be performed by a licensed nurse.
Correct Answer is D
Explanation
Choice A reason:
A STAT antibiotic indicates urgency, often related to infection; however, administering the medication can usually occur after the nurse addresses immediate life-threatening conditions. This client is stable enough to wait briefly while a more critical client is assessed.
Choice B reason:
Medication education prior to discharge is important for continuity of care and safety after discharge, but it is not an urgent or life-threatening issue. This task can be safely delayed while higher-priority clients are assessed.
Choice C reason:
A wet-to-dry dressing change is a routine wound care intervention. Although it should be completed in a timely manner, it does not take precedence over acute physiologic instability affecting circulation or neurologic status.
Choice D reason:
Hypotension combined with a change in level of consciousness indicates compromised perfusion to vital organs, including the brain. This represents an immediate threat to life and requires rapid assessment and intervention following airway, breathing, and circulation priorities.
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