Final answer:
The nurse should set the manual blood transfusion to deliver approximately 62 GTT/min.
Step-by-step explanation:
To determine how many drops per minute the nurse should set the manual blood transfusion to deliver, we need to calculate the flow rate in GTT/min. First, we need to convert the volume of blood to mL/hr by multiplying 250 mL by 60 min/hr and then dividing by 4 hr. This gives us a flow rate of 375 mL/hr. Next, we convert mL/hr to GTT/min by multiplying by the drop factor of 10 GTT/mL and dividing by 60 min/hr. After performing the calculation, the nurse should set the manual blood transfusion to deliver approximately 62 GTT/min.