Blood admin quiz

A client with what blood type is a universal recipient?

AB-positive

Which of the following must a RN check with another nurse before initiating a unit of blood? Select all that apply.

ABO & Rh Client name Unit number Expiration date

A nurse is caring for a client who is receiving a blood transfusion. Which of the following indicates the client is experiencing a complication?

Difficulty breathing

An 88-year-old client who underwent internal fixation of a fractured femur 3 days ago now has a hemoglobin level of 7.8 g/dl. The practitioner prescribes 2 units of packed red blood cells (RBCs) to run over 3 hours each. When preparing the administration set, you should:

Have normal saline solution set up in the primary line.

A client receiving a transfusion of packed red blood cells (PRBCs) begins to vomit. The client's blood pressure is 90/50 mm Hg from a baseline of 125/78 mm Hg. The client's temperature is 100.8 ° F orally from a baseline of 99.2 ° F orally. The nurse determines that the client may be experiencing which complication of a blood transfusion?

Septicemia

A nurse is caring for a client who is receiving a transfusion with one unit of packed cells because of blood loss during surgery. Thirty minutes after the unit of blood is hung, the client reports chills and back pain. The client's blood pressure is 80/64 mm Hg. Which of the following is the first action the nurse should take?

Stop the infusion of blood.

A nurse is implementing care for a client who is receiving a blood transfusion. The nurse should remain in the room with the client during the critical time of a blood transfusion, which is considered to be which of the following?

The first 15 min

The nurse understands a a blood transfusion is started at a slow rate for what reason?

observe for the effects of a transfusion reaction

The nurse is administering a blood transfusion and detects signs or symptoms of a transfusion reaction, what is the first thing the nurse should do?

stop the infusion

A provider prescribes a transfusion of one unit of packed RBC for a client who has a low hemoglobin level. The provider also prescribes diphenhydramine (Benadryl) for administration before the transfusion to prevent

urticaria.