Blood Transfusion
A client has an order to receive a one unit of packed RBC's. The nurse make sure which of the following intravenous solutions to hang with the blood product at the client's bedside? A. 0.9% sodium chloride. B. 5% dextrose in 0.9% sodium chloride. C. Balanced Multiple Maintenance Solution with 5% Dextrose. D. 5% dextrose in 0.45% sodium chloride
a
A client is brought to the emergency department having experienced blood loss due to a deep puncture wound. A 3 unit Fresh-frozen plasma (FFP) is ordered. The nurse determines that the reason behind this order is to: a. provide clotting factors and volume expansion b. increase hemoglobin, hematiocrit, and neutrophil levels c. treat platelet dysfunction d. treat thrombocytopenia
a
A client is receiving a first-time blood transfusion of packed RBC. How long should the nurse stay and monitor the client to ensure a transfusion reaction will not happen? a. 15 minutes b. 30 minutes c. 45 minutes d. 60 minutes
a
After terminating the transfusion during a reaction, which action should the nurse immediately be taken next? A. Run a solution of 5% dextrose in water. B. Run normal saline at a keep-vein-open rate. C. Remove the IV line. D. Fast drip 200ml normal saline.
b
Nurse Amanda is caring for a client with severe blood loss who is prescribed with multiple transfusion of blood. Nurse Amanda obtains which most essential piece of equipment to prevent the risk of cardiac dysrhythmias? a. cardiac monitor b. blood warmer c. ECG machine d. infusion pump
b
A client is receiving transfusion of one unit of cryoprecipitate. The nurse will review which of the following laboratory studies to assess the effectiveness of the therapy? A. Serum electrolytes. B. .White blood cell count. C. Coagulation studies. D. Hematocrit count
c
A nurse is caring for a client requiring surgery and is ordered to have a standby blood secured if in case a blood transfusion is needed during or after the procedure. The nurse suggest to the client to do which of the following to lessen the risk of possible transfusion reaction? A. Request that any donated blood be screened twice by the blood bank. B. Take iron supplement prior the surgery and eat green leafy vegetables. C. Do an autologous blood donation. D. Have a family member donate their own blood
c
Nurse Paulo has received a blood unit from the blood bank and has rechecked the blood bag properly with nurse Edward. Prior the facilitation of the blood transfusion, nurse Paulo priority check which of the following? a. intake and output b. NPO standing order c. vital signs d. skin turgor
c
Nurse Jay is caring for a client with an ongoing transfusion of packed RBC's when suddenly the client is having difficulty of breathing, skin is flushed and having chills. Which action should nurse jay take first? A. Administer oxygen. B. Place the client on droplight. C. Check the client's temperature. D. Stop the transfusion
d
Nurse Rick is administering a 2 unit packed RBC's on a client with a low hemoglobin. The nurse will prepare which of the following in order to transfuse the blood? A. Microfusion set. B. Polyvol Pro Burette Set. C. Photofusion set. D. Tubing with an in-line filter
d
To verify the age of blood cells in a blood, the nurse will check which of the following? A. Blood type. B. Blood group. C. Blood identification number. D. Blood expiration date
d
Which nursing intervention takes highest priority when caring for a newly admitted client who's receiving a blood transfusion? a. Warming the blood prior transfusion. b. Informing the client that the transfusion usually takes 4 to 6 hours. c. Documenting blood administration in the client chart. d. instructing the client to report any itching, chest pain, or dyspnea.
d