A nurse is preparing to administer a blood transfusion to an older adult. Understanding age-related changes, what alterations in the usual protocol are necessary for the nurse to implement? (Select all that apply.)
a. Assess vital signs more often.
b. Hold other IV fluids running.
c. Premedicate to prevent reactions.
d. Transfuse smaller bags of blood.
e. Transfuse each unit over 8 hours.
ANS: A, B
The older adult needs vital signs monitored as often as every 15 minutes for the duration of the transfusion because changes may be the only indication of a transfusion-related problem. To prevent fluid overload, the nurse obtains a prescription to hold other running IV fluids during the transfusion. The other options are not warranted.
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