The Nurse Is Starting to Administer a Unit of Packed

question 23

Multiple Choice

The nurse is starting to administer a unit of packed red blood cells (PRBCs) to a patient admitted in hypovolemic shock secondary to hemorrhage.Vital signs include blood pressure 60/40 mm Hg,heart rate 150 beats/min,respirations 42 breaths/min,and temperature 100.6° F.What is the best action by the nurse?

• A) Administer blood transfusion over at least 4 hours.
• B) Notify the physician of the elevated temperature.
• C) Titrate rate of blood administration to patient response.
• D) Notify the physician of the patient's heart rate.

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Definitions:

Social Security System

A government-sponsored program providing monetary assistance to people with an inadequate or no income.

Temporary Assistance to Needy Families (TANF)

A federal assistance program that provides financial aid to low-income families with dependent children.

Earned Income Tax Credit

A refundable tax credit for low to moderate-income working individuals and families, particularly those with children.

Proportional Income Tax

A taxation system where the tax rate remains constant regardless of the amount of income earned.