Chapter 32: Quiz Questions
The nurse should provide further teaching when a preoperative client considering blood donation makes which of the following statements?
"My family will donate blood, because it's safer."
A client with a history of congestive heart failure has an order to receive 1 unit of packed red blood cells (RBCs). If the nurse hangs the blood at 12:00 pm, by what time must the infusion be completed?
4:00 pm
A nurse is assigned to care for a patient with ascites, secondary to cirrhosis. The nurse understands that the fluid accumulation in the peritoneal cavity results from a combination of factors including an alteration in oncotic pressure gradients and increased capillary permeability. Therefore, the nurse monitors the serum level of the plasma protein responsible for maintaining oncotic pressure, which is:
Albumin
A client receiving a blood transfusion complains of shortness of breath, appears anxious, and has a pulse of 125 beats/minute. What is the best action for the nurse to take after stopping the transfusion and awaiting further instruction from the healthcare provider?
Ensure there is an oxygen delivery device at the bedside.
A client tells the nurse that he would like to donate blood before his abdominal surgery next week. What should be the nurse's first action?
Explain the time frame needed for autologous donation.
A nurse is caring for a patient who has had a bone marrow aspiration with biopsy. What complication should the nurse be aware of and monitor the patient for?
Hemorrhage
The nurse should notify the healthcare provider before administering fresh frozen plasma (FFP) based on which assessment finding?
Jugular venous distention
Which blood cell type is matched correctly with its function?
Leukocyte: Fights infection
The body responds to infection by increasing the production of white blood cells (WBCs). The nurse knows to evaluate the differential count for the level of __________, the first WBCs to respond to an inflammatory event.
Neutrophils
The nurse expects which assessment finding of the oral cavity when the client is diagnosed with pernicious anemia?
Smooth tongue
A nurse is transfusing whole blood to a client with impaired renal function. During the transfusion, the client tells the nurse, "I feel very short of breath all of a sudden." What is the nurse's primary action?
Stop transfusion
Which type of lymphocyte is responsible for cellular immunity?
T lymphocyte
