A nurse has just received a bag of packed red blood cells (RBCs) for a patient. What is the longest time the nurse can let the blood infuse?

a. 30 minutes
b. 2 hours
c. 4 hours
d. 6 hours


ANS: C
Ideally a unit of whole blood or packed RBCs is transfused in 2 hours. This time can be lengthened to 4 hours if the patient is at risk for extracellular volume excess. Beyond 4 hours there is a risk for bacterial contamination of the blood.

Nursing

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The process of shifting planning, delivering, and financing responsibility for programs from the federal level to the state is called:

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A nurse pays a house visit to a client who is on total parenteral nutrition. The client expresses that he misses enjoying food with his family. What is the most appropriate response by the nurse?

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What will be an ideal response?

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