Transfusions/Blood Products

The registered nurse is teaching a novice nurse about transfusion in older patients. Which statement by the novice nurse indicates effective learning? 1 "Blood that is more than 1 week old should be used." 2 "Large bore needles over 19 gauge should be used." 3 "2 to 4 hours should be taken to administer one unit of blood." 4 "Dextrose should be simultaneously administered while the transfusion is taking place.

"2 to 4 hours should be taken to administer one unit of blood."

The registered nurse teaches a student nurse about the actions to be followed after an infusion of blood products. Which statement made by the student nurse shows ineffective understanding? 1 "I will safely dispose of the bag after infusion." 2 "I will document every detail of the transfusion." 3 "I will safely dispose of the tubing after infusion." 4 "I will monitor the vital signs of the patient after the transfusion."

"I will monitor the vital signs of the patient after the transfusion."

The nurse educator is teaching a nursing student about the transfusion of blood products. Which statement made by the student nurse regarding the transfusion of red blood cells indicates effective learning? 1 "Do not administer any other solution with the blood product." 2 "Red blood cell transfusions should be completed within 4 hours of removal from refrigeration." 3 "Increasing the speed of administration during the first 15 minutes of the transfusion is necessary." 4 "Once the blood product has been released from the blood bank, it should be immediately transfused into the recipient's body within a few seconds."

"Red blood cell transfusions should be completed within 4 hours of removal from refrigeration."

A patient develops urticaria, itching, bronchospasm, and anaphylaxis 24 hours after a blood transfusion therapy. What could be the possible reason behind this? 1 Febrile transfusion reactions 2 Allergic transfusion reactions 3 Hemolytic transfusion reactions 4 Acute pain transfusion reactions

Allergic transfusion reactions

A patient is prescribed a 200 mL infusion of packed red blood cells to be administered over 2 hours. What would be the consequence if the blood product is diluted with normal saline and infused at a rate of 3 mL/min? 1 Allergy 2 Clotting 3 Hemolysis 4 Fluid overload

Fluid overload

The primary health care provider prescribes a blood transfusion for a patient with anemia. What would be the consequences if the blood transfusion is performed along with the administration of lactated Ringer's solution? Select all that apply. 1 Allergic reactions 2 Formation of clots 3 Destruction of platelets 4 Destruction of red blood cells 5 Destruction of white blood cells

Formation of clots Destruction of red blood cells

A patient undergoing transfusion therapy presents with hypotension, tachycardia, and tachypnea after administration of 50 mL of the infusion. What should the nurse infer from these findings? 1 Allergic reaction 2 Bacterial reaction 3 Hemolytic reaction 4 Acute pain reaction

Hemolytic reaction

What patient is at a lower risk for febrile transfusion reactions? 1 A patient receiving a platelet transfusion 2 A patient who has received multiple blood transfusions 3 A patient receiving a white blood cell (WBC) transfusion 4 A patient receiving leukocyte-reduced red blood cell transfusion

A patient receiving leukocyte-reduced red blood cell transfusion

An older adult who is receiving rapid a whole blood transfusion develops hypertension, bounding pulse, distended neck veins, and confusion. What could be the cause of the patient's condition? 1 Circulating overload 2 Febrile transfusion reaction 3 Allergic transfusion reaction 4 Hemolytic transfusion reaction

Circulating overload

The student nurse starts the infusion of packed red blood cells in a patient who is already on intravenous (IV) antibiotic therapy; the infusion goes through the same IV line. What complication would be expected? 1 Allergy 2 Clotting 3 Hemolysis 4 Fluid overload

Clotting

The primary health care provider advises the administration of diphenhydramine and acetaminophen to a patient before initiation of platelet transfusion therapy. What patient history supports the intervention? 1 Circulating overload 2 Febrile transfusion reactions 3 Allergic transfusion reactions 4 Hemolytic transfusion reactions

Febrile transfusion reactions

The nurse is transfusing 2 units of packed red blood cells (PRBCs) to a postoperative patient. What post-transfusion electrolyte imbalance should the nurse rule out? 1 Hyperkalemia 2 Hypercalcemia 3 Hyponatremia 4 Hypomagnesemia

Hyperkalemia

The nurse knows that a patient with a B-negative blood type can receive which blood product? 1 O-negative 2 A-negative 3 AB-positive 4 B-positive

O-negative

Which data is least required when initiating a transfusion process? 1 Patient's band name 2 Patient's date of birth 3 Patient's band number 4 Patient's room number

Patient's room number

The nurse assesses multiple patients who are receiving transfusions of blood components. Which assessment indicates the need for the nurse's immediate action? 1 Respiratory rate of 36 in a patient receiving red blood cells (RBCs) 2 Temperature of 99.1° F (37.3° C) for a patient with a platelet transfusion 3 Sleepiness in a patient who received diphenhydramine as a premedication 4 A partial thromboplastin time (PTT) that is 1.2 times normal in a patient who received a transfusion of fresh frozen plasma (FFP)

Respiratory rate of 36 in a patient receiving red blood cells (RBCs)

What type of transfusion reaction is characterized by rapid onset of dyspnea and hypoxia within 6 hours of transfusion? 1 Hemolytic transfusion reactions 2 Acute pain transfusion reaction (APTR) 3 Transfusion-related acute lung injury (TRALI) 4 Transfusion-associated graft-versus-host disease (TA-GVHD)

Transfusion-related acute lung injury (TRALI)

What is the priority action performed by the nurse to avoid blood transfusion complications? 1 Use lactated Ringer's and dextrose in water for infusion. 2 Administer normal saline solution with the blood products. 3 Use of appropriate filters to remove the sediment formed in the stored blood. 4 Verify the patient's name and number, check blood compatibility, and note the expiration date

Verify the patient's name and number, check blood compatibility, and note the expiration date

The nurse is mentoring a recent graduate RN about administering blood and blood products. What does the nurse include in the data? 1 Verify with another RN all of the data on blood products. 2 Use a 22-gauge needle to obtain venous access when starting the infusion. 3 Obtain the patient's initial set of vital signs (VS) within the first 10 minutes of the infusion. 4 Remain with the patient who is receiving the blood for the first 5 minutes of the infusion

Verify with another RN all of the data on blood products.