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NCLEX-RN · Question #433

NCLEX-RN Question #433: Real Exam Question with Answer & Explanation

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Question

A client has been admitted to the nursing unit with the diagnosis of severe anemia. She is slightly short of breath, has episodes of dizziness, and complains her heart sometimes feels like it will "beat out of her chest." The physician has ordered her to receive 2 U of packed red blood cells. The most important nursing action to be taken is:

Options

  • AStarting an 18-gauge IV infusion
  • BHaving the consent form on the chart
  • CAdministering the correct blood product to the correctclient
  • DTransfusing the blood in a 2-hour time frame

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