Blood Quiz

A patient is admitted to the Emergency Department with significant blood loss. The primary care provider orders 2 units of packed red blood cells to be transfused immediately. Which blood groups would be compatible with his type O, Rh-positive blood? a. O Rh positive or O Rh negative. b. Only O Rh positive. c. Only O Rh negative. d. AB Rh positive or Rh negative.

a

The nurse begins a routine blood transfusion of packed red blood cells (PRBCs) at 1100. To ensure client safety, the unit of blood should be completely transfused by what time? a. 1500 b. 1600 c. 1530 d. 1115

a

The nurse caring for a client receiving a transfusion notes that 15 minutes after the infusion of packed red blood cells (PRBCs) has begun, the client is having difficulty breathing and complains of severe chest tightness. What is the most appropriate initial action for the nurse to take? a. Stop the transfusion immediately. b. Notify the client's health care provider c. Remove the client's IV access. d. Assess the client's chest sounds and vital signs.

a

The nurse is caring for a client who had undergone hemodilution during surgery. Immediately after surgery, the nurse expects to see which lab result? a. Decreased hematocrit b. Critically low arterial oxygen saturation c. Elevated creatinine d. Elevated erythrocyte concentration

a

Which of the following describes a red blood cell (RBC) that has pale or lighter cellular contents? a. Hypochromic b. Normocytic c. Microcytic d. Hyperchromic

a

Your client is to receive a blood transfusion for severe anemia. In gathering your supplies, which type of IV tubing would you get? a. Y-administration tubing b. Macrodrip tubing c. Microdrip tubing d. Primary tubing

a

A client has come to the OB/GYN clinic due to recent heavy menstrual flow. Because of the client's consequent increase in red cell production, the nurse should recommend the client increase her daily intake of what substance? a. Vitamin E b. Iron c. Magnesium d. Vitamin D

b

A client is receiving the first of two prescribed units of PRBCs. Shortly after the initiation of the transfusion, the client reports chills and experiences a sharp increase in temperature. What is the nurse's priority action? a. Auscultate the client's lungs. b. Discontinue the transfusion. c. Obtain a blood specimen from the client. d. Position the client in high Fowler position

b

A client on the medical unit is receiving a unit of PRBCs. Difficult IV access has necessitated a slow infusion rate and the nurse notes that the infusion began 4 hours ago. What is the nurse's most appropriate action? a. Apply an icepack to the blood that remains to be infused. b. Discontinue the remainder of the PRBC transfusion and inform the health care provider. c. Administer the remaining PRBCs by the IV direct (IV push) route. d. Disconnect the bag of PRBCs, cool for 30 minutes and then administer.

b

The correct gauge IV needle to use for blood product transfusion is a. 22 gauge or 24 gauge b. 16 gauge, 18 gauge or 20 gauge c. only 18 or 20 gauge IV needle should be used. d. Any gauge IV is acceptable since blood cells are so small.

b

The nurse began transfusing the first unit of packed red blood cells (PRBCs) fifteen minutes ago. The client reports shortness of breath, nausea, and is restless. What is the nurse's priority action? a. Notify the primary health care provider. b. Stop the infusion. c. Flush the blood tubing with normal saline. d. Discontinue the intravenous line.

b

A client's low hemoglobin level has necessitated transfusion of PRBCs. Prior to administration, what action should the nurse perform? a. Facilitate insertion of a central venous catheter. b. Have the client identify his or her blood type in writing. c. Ensure that the client has granted verbal consent for transfusion. c. Assess the client's vital signs to establish baselines.

c

The nurse obtains a unit of blood for the client, Donald D. Smith. The name on the label on the unit of blood reads Donald B. Smity. All other identifiers are correct. The nurse will: a. Administer the unit of blood b. Check with the blood bank first and then administer the blood with their permission. c. Refuse to administer the blood d. Ask the client if has has ever known Donald B. Smith.

c

What is the reason for using filtered tubing when infusing blood products? a. The filter will capture any blood clots that may have formed while the blood was in storage. b. The filter slows down the speed of the transfusion so the patient does not become fluid overloaded. c. Most blood products contain cellular debris. The filter captures this debris. d. Blood products contain electrolytes that must be filtered out prior to transfusion.

c

Your client needs a blood transfusion. What interventions will the nurse perform to minimize the riske of a septic reaction due to bacterial contamination of blood used for the transfusion? a. Warm the blood for 4 hours before infusing. b. Infuse the blood 8 hours after refrigerating it. c. Infuse the blood within 4 hours or less getting it from the blood bank. d. Test the blood for contamination before infusing it.

c

A CBC is commonly performed before a client goest to surgery. What does this test seek to identify? a. Potential hepatic dysfunction indicated by decreased blood urea nitrogen (BUN) levels. c. Low levels of urine constituents normally excreted in the urine. d. Abnormally low hematocrit (HCT) and hemoglobin (Hgb) levels. e. Electrolyte imbalance that could affect the blood's ability to coagulate properly.

d

A client with a hematologic disorder asks the nurse how the body forms blood cells. The nurse should describe a process that takes place where? a. In the liver b. In the kidneys c. In the spleen d. In the bone marrow

d

Which IV solution should be used to dilute the blood while it is being administered. a. D5W b. D5/LR c. Lactated Ringers (LR) d. D5.45% NS e. 0.9% NS

e