MRCP UK EXAMINATIONS

Detailed explanation-1: -The nurse should be alert to which adverse assessment finding when transfusing a unit of packed red blood cells (PRBCs) too rapidly? Increasing the flow rate of a blood transfusion too rapidly can result in circulatory overload. Fluid overload can be manifested by crackles in the lungs.

Detailed explanation-2: -Increase in body temperature. An elevation in temperature or heart rate is one of the first signs that a person is having an adverse reaction to a transfusion.

Detailed explanation-3: -The client is to receive a unit of packed red blood cells. What is the nurse’s first action? Verify that the client has signed a written consent form. Albumin is important for the maintenance of fluid balance within the vascular system.

Detailed explanation-4: -If possible, the nurse should wait 2 hr to elapse after the administration of the first unit of packed RBCs before beginning to infuse the second unit. This will decrease the client’s risk of fluid overload. The nurse should obtain a new infusion set for each unit of packed RBCs.