Practice Question
A nurse is caring for a client with an order for one unit of packed red blood cells (PRBCs). The nurse should anticipate to remain ate client's bedside during which time period of the infusion?
Answer Choices:
Correct Answer:
The first 15 min
Rationale:
💥The first 15 minutes of a blood transfusion are the most critical for monitoring because life-threatening reactions, such as acute hemolytic, febrile non-hemolytic, or anaphylactic responses, are most likely to occur during this period.
💥These reactions can present with chills, fever, flank pain, hypotension, or shortness of breath.
💥Nursing best practice includes remaining at the client’s bedside for the initial 15 minutes, infusing the blood slowly, and closely observing for any adverse symptoms.
💥Early identification allows for immediate cessation of the transfusion and appropriate interventions, such as notifying the provider, initiating saline infusion, and returning the blood to the lab.
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This question is from RN Fundamentals~Exam 4 which contains 71 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4