Blood Transfusion

The nurse assigned to a patient in need for a blood transfusion should check the availability and patency of an intravenous access line after bringing the blood to the ward.
True
False
Blood collection from blood bank should take place before the administration of any prescribed pre-medication(s).
Treu
False
The nurse read the physician’s order of “Give one unit of packed cells IV”. What should be the nurse’s immediate decision?
Collect the blood and clarify the order with the physician prior to administration
Seek assistance from the head nurse/ nursing supervisor
Collect the blood and transfuse the patient
Refuse to collect and administer the blood
On what issues should the patient be informed before each blood transfusion episode? (Choose THREE answers only).
Reasons for the blood transfusion
Management of acute transfusion reaction
Risks of blood transfusion
Reaction symptoms
Possible consequences of rejecting to have the transfusion
When should the baseline vital signs be recorded before initiating the blood transfusion?
Within 2 hours
Within 1 and 1⁄2 hours
Within 1 hour
Within 45 minutes
Within 30 minutes
What information should a nurse have to ensure collecting the right blood for the right patient provided that the nurse has the patient's full name, date of birth and hospital number?
The patient's identification details are identical on the blood bag and blood request form.
The patient's full name is identical on drug chart and blood request form.
The patient's full name is identical on the blood bag label and blood request form.
The patient's identification details are identical on the drug chart and request form.
Which method should the nurse use to transport blood from blood bank to ward?
A validated blood transport box
A clean stainless steel ward tray with cover
A clean kidney basin with cover
A clean plastic bag or a plastic tray
A super-cooled cubed ice
When collecting a unit of blood from blood bank for a patient whose blood group is A positive, the nurse noted that the unit is A negative. IF THE COLLECTED BLOOD IS COMPATIBLE WITH THE PATIENT BLOOD, what action should the nurse take FIRST?
Inform the doctor and obtain his advice
Transfuse the unit after checking details
Check details with another nurse- then transfuse the unit
Refuse to transfuse the unit
Initiate the transfusion, but observe and monitor the patient closely
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