Difficulty: Medium
Average Score: 89%
Simulated
A nurse is caring for a client at risk for fluid volume overload with an order to infuse 1 unit of blood. The health care provider specified the rate of infusion must be 8 hours to prevent the effects of fluid volume overload in this client. Which intervention should the nurse implement for this client?
Correct answer
C
Rationale
The correct answer is C. The nurse should call the HCP to question the order because blood must infuse within 4 hours, not 8 hours. Blood transfusions should typically be completed within 4 hours to prevent bacterial growth and reduce the risk of transfusion reactions. Option A is incorrect because infusing blood over 8 hours increases the risk of complications. Option B is incorrect because splitting the unit into 2 and infusing each half for 4 hours does not address the issue of the prescribed infusion time. Option D is incorrect as infusing each unit for 8 hours is not the standard practice for blood transfusions.