The nurse is preparing to administer a unit of platelets to an adult patient. When administering this blood product, which of the following actions should the nurse perform?
A) Administer the platelets as rapidly as the patient can tolerate.
B) Establish IV access as soon as the platelets arrive from the blood bank.
C) Ensure that the patient has a patent central venous catheter.
D) Aspirate 10 to 15 mL of blood from the patient's IV immediately following the transfusion.
Ans: A
Feedback:
The nurse should infuse each unit of platelets as fast as patient can tolerate to diminish platelet clumping during administration. IV access should be established prior to obtaining the platelets from the blood bank. A central line is appropriate for administration, but peripheral IV access (22-gauge or larger) is sufficient. There is no need to aspirate after the transfusion.
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