{"id":136274,"date":"2024-09-10T12:47:26","date_gmt":"2024-09-10T12:47:26","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=136274"},"modified":"2024-09-10T12:47:30","modified_gmt":"2024-09-10T12:47:30","slug":"the-client-has-an-iv-of-dextrose-5-in-0-45-normal-saline","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/10\/the-client-has-an-iv-of-dextrose-5-in-0-45-normal-saline\/","title":{"rendered":"The client has an IV of dextrose 5% in 0.45% normal saline"},"content":{"rendered":"\n

The client has an IV of dextrose 5% in 0.45% normal saline. The physician has ordered a transfusion of one unit of packed red blood cells (PRBCs).
Before hanging the blood, the nurse will prime the blood tubing with which of the following solutions?<\/p>\n\n\n\n

A.
0.9% sodium chloride.<\/p>\n\n\n\n

B.
Lactated Ringer’s.<\/p>\n\n\n\n

C.
5% dextrose.<\/p>\n\n\n\n

D.
5% dextrose in 0.45% sodium chloride.<\/p>\n\n\n\n

E.
5% dextrose in 0.45% sodium chloride.<\/p>\n\n\n\n

The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n

The correct answer is:<\/p>\n\n\n\n

A. 0.9% sodium chloride.<\/strong><\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n

When preparing to administer packed red blood cells (PRBCs) via transfusion, it is crucial to use the appropriate solution for priming the blood tubing. The standard practice is to use 0.9% sodium chloride (normal saline)<\/strong> for this purpose. This practice ensures compatibility with the blood product and minimizes the risk of reactions.<\/p>\n\n\n\n

Here\u2019s why 0.9% sodium chloride<\/strong> is preferred:<\/p>\n\n\n\n

    \n
  1. Compatibility with Blood Products:<\/strong>\n
      \n
    • 0.9% sodium chloride<\/strong> is isotonic with blood, meaning its osmolarity is similar to that of human plasma. This isotonic nature helps prevent hemolysis (destruction of red blood cells) that could occur if a hypotonic or hypertonic solution were used.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
    • Prevention of Clot Formation:<\/strong>\n
        \n
      • Using 0.9% sodium chloride<\/strong> helps to keep the blood in a fluid state and prevents clot formation in the transfusion tubing. Clotting can occur if the wrong solution is used, which could lead to complications such as transfusion reactions or obstructions in the tubing.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
      • Avoiding Chemical Reactions:<\/strong>\n
          \n
        • Solutions containing dextrose, such as 5% dextrose<\/strong> or 5% dextrose in 0.45% sodium chloride<\/strong>, are not recommended for blood transfusions. Dextrose solutions can cause hemolysis of red blood cells and can lead to the formation of blood clots or reactions within the tubing due to the dextrose content.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
        • Clinical Guidelines:<\/strong>\n
            \n
          • Clinical guidelines and protocols universally recommend using 0.9% sodium chloride<\/strong> for priming blood transfusion tubing. This solution is the only acceptable choice according to standard blood transfusion practices.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n

            In summary, the use of 0.9% sodium chloride<\/strong> ensures the safe and effective administration of PRBCs by maintaining blood compatibility, preventing adverse reactions, and adhering to established medical protocols.<\/p>\n","protected":false},"excerpt":{"rendered":"

            The client has an IV of dextrose 5% in 0.45% normal saline. The physician has ordered a transfusion of one unit of packed red blood cells (PRBCs).Before hanging the blood, the nurse will prime the blood tubing with which of the following solutions? A.0.9% sodium chloride. B.Lactated Ringer’s. C.5% dextrose. D.5% dextrose in 0.45% sodium […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-136274","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136274","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=136274"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136274\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=136274"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=136274"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=136274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}