Blood Product Administration Quiz

The Colony ER Hospital provides blood or blood products to its clients?
Yes
Sometimes
No
Only on Ash Wednesday
Which nursing intervention takes highest priority when caring for a newly admitted client who's receiving a blood transfusion?
Warming the blood prior transfusion.
Informing the client that the transfusion usually takes 4 to 6 hours.
Documenting blood administration in the client chart.
Instructing the client to report any itching, chest pain, or dyspnea.
Nurse Russell has received a blood unit from the blood bank and has rechecked the blood bag properly with nurse Bubba. Prior the facilitation of the blood transfusion, nurse Russell first checks which of the following?
Intake and output.
NPO standing order.
Vital signs.
Skin turgor.
A client is brought to the emergency department having experienced blood loss due to a deep puncture wound. Three units of Fresh-frozen plasma (FFP) is ordered. The nurse determines that the reason behind this order is to:
Provide clotting factors and volume expansion.
Increase hemoglobin, hematocrit, and neutrophil levels.
Treat platelet dysfunction.
Treat thrombocytopenia.
Nurse Candice is caring for a client with severe blood loss who is prescribed with multiple transfusions of blood. Nurse Candice obtains which most essential piece of equipment to prevent the risk of cardiac dysrhythmias?
Cardiac Monitor.
ECG Machine.
Blood Warmer.
Infusion Pump
Packed red blood cells have been prescribed for a client with low hemoglobin and hematocrit levels. The nurse takes the client’s temperature before hanging the blood transfusion and records 100.8 °F. Which action should the nurse take?
Give an antipyretic and begin the transfusion.
Proceed with the transfusion.
Administer an antihistamine and begin the transfusion.
Delay hanging the blood and inform the physician.
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?
15 Minutes
30 Minutes
45 Mintutes
60 Minutes
Nurse Keli 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?
Microfusion set.
Polyvol Pro Burette Set.
Photofusion set.
Tubing with an in-line filter.
To verify the age of blood cells in a blood, the nurse will check which of the following?
Blood type.
Blood group.
Blood identification number.
Blood expiration date.
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?
0.9% sodium chloride.
5% dextrose in 0.9% sodium chloride.
Balanced Multiple Maintenance Solution with 5% Dextrose.
5% dextrose in 0.45% sodium chloride.
Nurse Dustin 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?
Administer oxygen.
Place the client on droplight.
Check the client's temperature.
Stop the transfusion.
After terminating the transfusion during a reaction, which action should the nurse immediately be taken next?
Run a solution of 5% dextrose in water.
Run normal saline at a keep-vein-open rate.
Remove the IV line.
Fast drip 200ml normal saline.
A client is receiving a platelet transfusion. The nurse determines that the client is gaining from this therapy if the client exhibits which of the following?
Less frequent febrile episodes.
Increased level of hematocrit.
Less episodes of bleeding.
Increased level of hemoglobin.
Nurse Nikki is caring for a client receiving a transfusion of packed red blood cells (PRBCs). The client started to vomit and to be nauseous. Client's blood pressure is 95/40 mm Hg from a baseline of 110/70 mm Hg. The client's temperature is 100.5°F orally from a baseline of 99.5°F orally. The nurse understand that the client may be experiencing which of the following?
Circulatory overload.
Delayed transfusion reaction.
Hypocalcemia.
Septicemia.
Nurse Dana 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?
Request that any donated blood be screened twice by the blood bank.
Take iron supplement prior the surgery and eat green leafy vegetables.
Do an autologous blood donation.
Have a family member donate their own blood.
Which tube or tubes are acceptable to send out for testing and cross-matching? (Select all that apply)
1 Pink top (Filled).
2 Purple tops (Filled).
1 Green top (Filled)and 1 Purple top (Filled).
1 Tiger top (Filed) after spin down for 15 minutes.
How long can a unit of blood from carter BloodCare remain in the sealed delivery container before being returned?
1 hour
24 hours
8 hours
2 hours
After a suspected transfusion reaction the nurse should:
Throw away all of the blood products and tubing.
Keep everything including the 0.9%NS and all tubing.
Only keep the blood product and tubing
Do nothing because it to shall pass.
In some circumstances The Colony ER Hospital policy & procedures state that it's approved to administer blood products to a stable client without a matching blood band or a type and screen on record.
True
False
What is your name?
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