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    ATI RN Paediatrics Nursing Proctored Exam 2023

    A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?

    Explanation & Rationale

    A. Dextrose 5% in water (D5W) should not be used with packed RBCs because it can cause hemolysis (destruction of red blood cells). B. Filtered IV tubing is preferred for blood transfusions to catch any blood clots and debris, and non-filtered tubing increases the risk of complications. C. The standard guideline for transfusing red blood cells (RBCs) is to infuse each unit within 4 hours to minimize the risk of bacterial growth in the blood. Blood should not be left at room temperature for prolonged periods. D. The second unit of blood should not be stored at room temperature for more than 30 minutes, as it may cause bacterial growth.

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