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The Nurse Is Starting to Administer a Unit of Packed

Question 23

Multiple Choice

The nurse is starting to administer a unit of packed red blood cells (PRBCs) to a patient admitted in hypovolemic shock secondary to hemorrhage.Vital signs include blood pressure 60/40 mm Hg,heart rate 150 beats/min,respirations 42 breaths/min,and temperature 100.6° F.What is the best action by the nurse?


A) Administer blood transfusion over at least 4 hours.
B) Notify the physician of the elevated temperature.
C) Titrate rate of blood administration to patient response.
D) Notify the physician of the patient's heart rate.

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