Ati Nur 268 Med Surg Proctored Exam
A nurse is assessing a client before administering a unit of packed RBCs. The nurse should identify which of the following data as most important to obtain prior to the infusion?
Explanation & Rationale
Choice A reason: Fluid intake is important for overall hydration status but is not the most critical parameter before transfusion. Choice B reason: Hemoglobin level is essential to determine the need for transfusion and to evaluate the effectiveness of the intervention. Choice C reason: Skin color may provide clues about perfusion or anemia but is subjective and less reliable than laboratory data. Choice D reason: Temperature is important to detect pre-existing fever, but hemoglobin level is more directly related to the indication for transfusion.
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