Question

A client postoperative fractured hip repair is prescribed 1 unit of packed cells. Which would the nurse implement in preparation for the transfusion? A. Start an IV with a 22-gauge needle B. Obtain signature of consent for the transfusion C. Hang D5W to transfuse with the blood D. Figure the rate of transfusion for \(500 \mathrm{~mL}\) in 6 hours

Short answer

Answer: Obtain signature of consent for the transfusion.

Step-by-step solution

A. Start an IV with a 22-gauge needle

This option might be relevant for starting an intravenous (IV) line. However, for a blood transfusion, it is generally recommended to use a larger-gauge needle (e.g. 18- to 20-gauge) to support more rapid and reliable flow for the transfusion. So, this option can be considered incorrect for the given scenario.

B. Obtain signature of consent for the transfusion

Before performing a blood transfusion, it is crucial to have informed consent from the patient or their legal representative. This helps to ensure that the patient is informed of the risks and benefits of the transfusion and has agreed to it. Thus, this option is considered correct for the given scenario.

C. Hang D5W to transfuse with the blood

D5W, which stands for 5% dextrose in water, is an intravenous fluid that can be used in various clinical scenarios. However, for a blood transfusion, it is not appropriate to use D5W, as it can cause hemolysis of the red blood cells. Blood transfusions generally require the use of a compatible crystalloid solution like 0.9% normal saline. So, this option can be considered incorrect for the given scenario.

D. Figure the rate of transfusion for \(500 \mathrm{~mL}\) in 6 hours

While calculating the rate of transfusion is important, it should be done after obtaining informed consent from the patient (or their legal representative) and setting up a properly-sized IV line. Moreover, the choice should not be limited to just 6 hours, as the rate depends on various factors such as the patient's condition, vital signs, and clinical guidelines. So, this option can also be considered incorrect for the given scenario. In conclusion, the most appropriate action for the nurse to take in preparation for the transfusion, among the given options, is:

Correct Answer

B. Obtain signature of consent for the transfusion