AH2- Blood Administration Module Quiz A F17- ATI

The nurse is caring for a client who had an anaphylactic reaction after a blood transfusion. The nurse reviews the literature to further understand anti-body mediated immunity (AMI). Which of the following information should the nurse confirm about AMI? A. AMI is mediated by Antibodies produced by B lymphocytes B. AMI defends only against viral infections C. AMI involves phagocytic natural killer cells D.Humoral immunity response is mediated by T lymphocytes

A. AMI is mediated by Antibodies produced by B lymphocytes AMI is mediated by the anti-bodies produce Bybee lymphocytes in response to an invading Allergan or antigen

A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings is a manifestation of hemolytic transfusion reaction? A. Report of metallic taste B. Report of low back pain C. Pallor D. Hypertension

B. Report of low back pain Low back pain fever and chills are manifestations of a hemolytic transfusion reaction. The nurse should discontinue the transfusion and administer a 0.9% sodium chloride through a new IV tube.

A nurse is preparing to administer blood to a client the unit of blood on hand is type O negative and the client is type a positive blood. Which of the following action should the nurse take? A. Administer the blood as ordered B. Contact the provider for further orders C. Notify the blood bank D. Complete an incident report

A. Administer the blood is ordered The nurse should administer the blood as ordered. Type O blood is compatible with Type A. Type O blood is considered a universal donor as it contains no antigens to react to transfused blood.

A nurse is assessing a client who is receiving one unit of packed red blood cells to treat intraoperative blood loss. The client reports chills and back pain and the clients blood pressure is 80/64 mmHg. Which of the following actions should the nurse take first? A. Inform the provider B. Stop the infusion of blood C. Notify the laboratory D. Obtain a urine specimen

B. Stop the infusion of blood The client is experiencing an acute intravascular hemolytic transfusion reaction. The greatest risk to this client is injury from receiving additional blood; therefore, the first action the nurse should take it to stop the infusion of blood.

A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following should the nurse plan to take? A. Remain with the client for the first 15 minutes of the transfusion B. Plan to infuse the unit of blood over six hours C. Check the unit of blood with an assistant personnel D. Pre-medicate the client with an antiemetic

A. Remain with the client for the first 15 minutes of transfusion The nurse should remain with the client for the first 15 to 30 minutes of the transfusion to monitor for a transfusion reaction, which occurs often during the first 50 mL of the transfusion.

A nurse at a blood donation center is screening clients for blood donation. The nurse should identify that which of the following clients must reschedule donation? A. Client who is Rh positive B. A client who has an oral temperature of 37.8°C (100°F) C. A client who weighs 50 kg (110lbs) and plans to donate 450 mL of blood D. A client who is 14 years of age

B. A client who has an oral temperature of 37.8°C (100°F) A client who has an oral temperature that exceeds 37.5°C (99.6°F) differs eligibility to donate blood

A nurse is assessing a client who is post operative and has anemia due to excess blood loss following the surgery. Which of the following findings should the nurse expect? A. Bradycardia B. Fatigue C. Diarrhea D. Hypertension

B. Fatigue The nurse should anticipate that the client who has anemia due to blood loss following surgery will experience fatigue. This is due to the body is decreased ability to carry oxygen to vital tissues and organs.

A nurse is selecting a qualified staff member to double check blood label with a client ID bracelet prior to infusing a unit of blood. The nurse should identify that which of the following persons is qualified? A. Phlebotomist B. Oncology nurse C. Assistive personnel D. Senior nursing student

B. Oncology nurse The nurse should ask another nurse or a provider to double check the blood label and client ID prior to an infusion.

A charge nurse is supervising a newly licensed nurse care for a client who is receiving a transfusion of packed red blood cells. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse? A. The nurse sent a blood specimen to the laboratory B. The nurse initiate of infusion of 0.9% sodium chloride C. The nurse collect a urine specimen D. The nurse starts the translation of another unit of blood product

D. The nurse starts the translation of another unit of blood product When suspecting a hemolytic reaction, the nurse should immediately stop the transfusion of all blood products. The transfusion of additional products can increase the clients risk for further complication.

A nurse is caring for a client who is to receive a unit of packed red blood cells. The nurse should prime the blood administration to being using which of the following IV solutions? A. Lactated ringer's solution B. 0.9% sodium chloride C. Dextrose 5% in 0.45% sodium chloride D. Dextrose 5% in water

B. 0.9% sodium chloride The nurse should prime the tubing was 0.9% sodium chloride as this is the only IV solution that does not hemolyze red blood cells.

A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of acute hemolytic reaction? A. Client reports of tinnitus B. Client reports of low back pain C. A productive cough D. Distended neck veins

B. Client reports of low back pain Manifestation of an acute hemolytic reaction include apprehension, tachypnea, hypotension, chest pain, and lower back pain

Nurse is preparing to administer blood to a client. Which of the following actions should the nurse take to identify the client? (select all that apply) A. Scan the barcode on the clients identification band B. Compare client identification number to the blood component tag number C. Confirm that the room number matches the right medical record D. Verify the providers prescription with another RN E. Asked the client to verbalize if blood type is RH negative or positive

A, B, D Many facilities in our choir nurses to use a wireless barcode scanner in addition to using two identifiers the nurse should scan the client identification band in the barcode on the blood component bag in order to ensure it is the correct product. The nurse should verify that the clients identification number is identical to the blood component tag number to ensure the client is receiving the correct blood component. A client must have a provider prescription to receive a blood transfusion. The prescription should state the type of blood product, the amount, and the transfusion time.

A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to the client? A. Cryoprecipitates B. Albumin C. Platelets D. Packed RBCs

D. Packed RBCs Packed red blood cells are given to restore blood volume and a place in Madaket and hemoglobin levels and clients who have hypovolemic shock.