Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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The patient with a hemoglobin level of 4.4 is ordered to receive 5 units packed red blood cells. To avoid circulatory overload, the nurse would take all of the following actions except:
  1. Administer Furosemide 20 mg intravenously in between each unit.
  2. Monitor the patient for signs and symptoms of hypoxia, edema and fever.
  3. Transfuse the blood quickly to avoid fatigue.
  4. Administer supplemental oxygen to aid the patient’s breathing.
Explanation
Answer: C - To avoid circulatory overload, the nurse would administer Furosemide in between units, administer supplemental oxygen and monitor the patient for signs of hypoxia, edema, and fever. However, the nurse would not transfuse the blood quickly because that would contribute to possible circulatory overload.
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