The nurse has started to infuse the first of two units of packed red blood cells (prbc) on her patient. What is the nurse's next best action?

a. Delegate to the NAP to take vital signs every 15 minutes for 1 hour.
b. Infuse the blood at a rate of 100 mL/hr so it will infuse in 4 hours.
c. Infuse an IV solution of lactated Ringer's with the blood.
d. Remain with the patient for the first 15 minutes of the infusion.


D
The nurse's next best action is to stay with the patient and assess for a transfusion reaction, which is more likely with the first 50 mL of the blood. The nurse should not delegate the initial vital sign to the NAP. The only compatible IV solution that can infuse with blood is normal saline (0.9% NS).

Nursing

You might also like to view...

Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem?

a. "Do you have any sensations of pins and needles in your feet?" b. "Does the pain radiate from your back into your legs?" c. "Can you describe the sensations you are having?" d. "Do you ever have any nausea or dizziness?"

Nursing

The priority assessment for the Rh-positive infant whose mother's indirect Coombs test was positive at 36 weeks is:

a. skin color. b. temperature. c. respiratory rate. d. blood glucose level.

Nursing

A nurse is teaching a client how to estimate portion sizes of food. Which technique should the nurse use during the client's teaching?

A. Measuring cups. B. Analogies. C. Plastic containers. D. Food scale.

Nursing

6.777 + 8 + 31.82 = ________ 

Fill in the blank(s) with the appropriate word(s).

Nursing