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    ATI ns 550 Fundamentals proctored Exam

    A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A reason: Transfusing over 6 hours is too long; packed red blood cells should infuse within 2–4 hours to prevent bacterial growth. This is incorrect for safe administration. Choice B reason: Verifying the client’s identity with another nurse ensures the correct patient receives the transfusion, preventing errors. This is a standard safety protocol, making it the correct action. Choice C reason: A 24-gauge IV catheter is too small, risking hemolysis. Larger gauges (18–20) are required for blood, making this incorrect for transfusion administration. Choice D reason: Priming with D5W causes hemolysis, as glucose solutions damage red cells. Normal saline is used, making this incorrect and unsafe for transfusion.

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