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    Swedish Institute College Of Health Sciences Medical Surgical Proctored Exam

    A nurse is preparing to administer a transfusion of pooled platelets to a client with severe thrombocytopenia. What is the appropriate time frame for administering this transfusion?

    Explanation & Rationale

    Rationale: A. Platelets are highly perishable and cannot be safely stored or administered over such an extended period. Administering platelets after many hours increases the risk of bacterial contamination and reduced efficacy. B. While faster administration is generally better, platelets are typically infused more quickly than red blood cells, but 2 hours per unit is slower than recommended for pooled platelets. Delays can reduce platelet viability and therapeutic benefit. C. Platelets are most effective when transfused quickly after preparation to maintain function and reduce the risk of bacterial growth. The recommended administration time for pooled platelets is 30–60 minutes per unit. Rapid infusion ensures prompt hemostatic effect, which is critical in clients with severe thrombocytopenia. D. This timeframe is acceptable for red blood cell transfusions, but platelets are much more sensitive to storage time and should not exceed 4 hours once the unit is issued. Delays compromise platelet function and patient safety.

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