Difficulty: Medium
Average Score: 62%
Simulated
A client has an order for one unit of packed cells. What is a correct nursing action in the administration of this product?
Correct answer
D
Rationale
Blood should be administered with a Y-tubing set that has normal saline as the only compatible fluid. A 24-gauge IV is too small; at least an 18- or 20-gauge IV is recommended for blood administration. If a transfusion reaction occurs, the line should be discontinued, and the normal saline should not be used to flush the remaining blood. Blood transfusions must be initiated within 30 minutes of receipt from the blood bank to reduce the risk of bacterial contamination.