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.

Question

Quizplus · Accepted Answer

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).

The Nurse Has Started to Infuse the First of Two