Blood Transfusion Therapy and Nursing Care · NCLEX Exam

What care adjustment should the nurse make for a patient with renal failure receiving a blood transfusion?

  1. Transfuse at the standard rate regardless of status
  2. Monitor for fluid overload and transfuse cautiously
  3. Use D5W instead of saline for priming the tubing
  4. Remove the blood warmer device before starting
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Correct answer: Monitor for fluid overload and transfuse cautiously

Patients with renal impairment are at increased risk of fluid overload; the transfusion rate should be slower and closely monitored.

Difficulty: Medium Question 15 of 20

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