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    Mental Health Northern Kentucky University Proctored Exam 5

    The nurse practitioner is caring for a 54-year-old male patient with a hemoglobin level of 4.4 who is ordered to receive 5 units of packed red blood cells. To avoid transfusion-associated circulatory overload (TACO), all but which one of the following actions are correct?

    Explanation & Rationale

    Choice A reason: Administering supplemental oxygen can support oxygenation in patients receiving transfusions and help manage symptoms of hypoxia, which may reduce the risk of complications. Choice B reason: Rapid transfusion increases the risk of circulatory overload (TACO), particularly in patients with low hemoglobin and possible compromised cardiac function. Slower, controlled transfusion is recommended. Choice C reason: Administering furosemide between units can help prevent fluid overload by promoting diuresis, especially in patients receiving multiple transfusions. Choice D reason: Monitoring for signs of hypoxia, edema, and fever is essential to detect TACO or other transfusion reactions early, allowing timely intervention.

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