Physiological Adaptation Q 188
A hospitalized patient is receiving packed red blood cells (PRBCs) for treatment of severe anemia. Which of the following is the most accurate statement?
A. Transfusion reaction is most likely immediately after the infusion is completed.
B. PRBCs are best infused slowly through a 20g. IV catheter.
C. PRBCs should be flushed with a 5% dextrose solution.
D. A nurse should remain in the room during the first 15 minutes of infusion.
Correct Answer: D. A nurse should remain in the room during the first 15 minutes of infusion.
Transfusion reaction is most likely during the first 15 minutes of infusion, and a nurse should be present during this period.
Option A: Transfusion reaction most likely occurs during the first 15 minutes, not after the infusion has been completed.
Option B: PRBCs should be infused through a 19g or larger IV catheter to avoid slow flow, which can cause clotting.
Option C: PRBCs must be flushed with 0.45% normal saline solution. Other intravenous solutions will hemolyze the cells.