Log out Go to App
Go to App

Learning Materials

Features

Discover

Chapter 23: Problem 8

A client postoperative fractured hip repair is prescribed 1 unit of packed cells. Which would the nurse implement in preparation for the transfusion? A. Start an IV with a 22-gauge needle B. Obtain signature of consent for the transfusion C. Hang D5W to transfuse with the blood D. Figure the rate of transfusion for \(500 \mathrm{~mL}\) in 6 hours

Short Answer

Expert verified
Answer: Obtain signature of consent for the transfusion.

Step by step solution

01

A. Start an IV with a 22-gauge needle

This option might be relevant for starting an intravenous (IV) line. However, for a blood transfusion, it is generally recommended to use a larger-gauge needle (e.g. 18- to 20-gauge) to support more rapid and reliable flow for the transfusion. So, this option can be considered incorrect for the given scenario.
02

B. Obtain signature of consent for the transfusion

Before performing a blood transfusion, it is crucial to have informed consent from the patient or their legal representative. This helps to ensure that the patient is informed of the risks and benefits of the transfusion and has agreed to it. Thus, this option is considered correct for the given scenario.
03

C. Hang D5W to transfuse with the blood

D5W, which stands for 5% dextrose in water, is an intravenous fluid that can be used in various clinical scenarios. However, for a blood transfusion, it is not appropriate to use D5W, as it can cause hemolysis of the red blood cells. Blood transfusions generally require the use of a compatible crystalloid solution like 0.9% normal saline. So, this option can be considered incorrect for the given scenario.
04

D. Figure the rate of transfusion for \(500 \mathrm{~mL}\) in 6 hours

While calculating the rate of transfusion is important, it should be done after obtaining informed consent from the patient (or their legal representative) and setting up a properly-sized IV line. Moreover, the choice should not be limited to just 6 hours, as the rate depends on various factors such as the patient's condition, vital signs, and clinical guidelines. So, this option can also be considered incorrect for the given scenario. In conclusion, the most appropriate action for the nurse to take in preparation for the transfusion, among the given options, is:
05

Correct Answer

B. Obtain signature of consent for the transfusion

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Start your free trial

Over 30 million students worldwide already upgrade their learning with Vaia!

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

A client with iron deficiency anemia has been prescribed an oral iron preparation. Which beverage is best to take with this medication? A. Milk B. Orange juice C. Water D. iced tea

The nurse is preparing to teach a group of clients who experience migraine headaches. Which would not be included in the teaching plans? A. Clients who have migraines should avoid alcoholic beverages. B. Some medication, such as birth control pills and Tagamet, can trigger an attack. C. Stress, anger, and conflict have no effect on the headaches. D. Eating foods made with yeast or preservatives can trigger an attack.

A client with acute lymphocytic leukemia is receiving asparaginase (Elspar) intra- venously. Which of the following laboratory values indicates that the client is expe- riencing an adverse reaction to this drug? ? A. WBC 5,000 mm ? B. BUN 15 mg/dL ? C. Platelet count 200,000 mm ? D. Alkaline phosphatase 25 units/dL

A client presents to the clinic exhibiting symptoms of pernicious anemia. Which diagnostic test would the nurse expect the physician to order that would most likely confirm the diagnosis? A. Urine analysis B. White blood cell count C. Prothrombin time test D. Schilling test

The nurse is evaluating cerebrospinal fluid (CSF) results on a client with suspected meningitis. Which would correlate with the suspected diagnosis? A. Increased white blood cell count B. Protein level decreased C. Glucose normal D. Numerous red blood cells
See all solutions

Recommended explanations on Biology Textbooks

Substance Exchange

Read Explanation

Biological Structures

Read Explanation

Biology Experiments

Read Explanation

Communicable Diseases

Read Explanation

Biological Organisms

Read Explanation

Energy Transfers

Read Explanation
View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.

Sign-up for free