ATI N103N103 Fundamentals Final Exam

Extract:

Question 1 of 5

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?

A. Retrieve the blood from the laboratory and run each unit at an 8-hour rate B. Notify the laboratory to split the unit into 2 then infuse each half for 4 hours C. Call the HCP to question the order because blood must infuse within 4 hours D. Infuse each unit for 8 hours the maximum rate for a unit of blood

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.

Question 2 of 5

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Question 5 of 5

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ATI N103N103 Fundamentals Final Exam | Nurselytic

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