The physician has ordered the child to receive a unit of packed red blood cells. In preparing to administer the blood, the nurse will initiate an intravenous line and hang what fluid?
1. D5W
2. D5LR
3. D5 1/4NS
4. NS
4
Rationale 1: Dextrose should not be hung as it will cause packed cells to clot.
Rationale 2: D5 lactated Ringer solution also contains dextrose and should not be hung with packed cells.
Rationale 3: Dextrose is inappropriate no matter what is the other component of the intravenous fluids.
Rationale 4: Normal saline is appropriate to hang prior to initiating blood.
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