A client with heart failure is to receive a transfusion of 2 units of packed red blood cells. What action by the nurse is best?

Question

Quizplus · Accepted Answer

This client is at risk for Transfusion-Related Circulatory Overload (TACO). TACO generally occurs when too much blood volume is given or it is given too quickly. The nurse would run the transfusion over the maximum time allowed to prevent this from occurring. Diphenhydramine is given to clients who have a history of mild reactions. Hematuria is a concern with acute hemolytic transfusion reactions. Unless it is an emergency requiring universal donor blood, all clients have blood drawn for type and crossmatch prior to the transfusion.

A Client with Heart Failure Is to Receive a Transfusion