Question 1

A nurse is concerned about the type of blood that a patient is to receive.Which type blood may a patient with an O blood type safely receive?

Accepted Answer

A)  Type A blood 
B)  Type B blood 
C)  Type AB blood 
D)  Type O blood 
A)  Type A blood 
B)  Type B blood 
C)  Type AB blood 
D)  Type O blood D

Question 2

Antibodies that react against the A and B antigens are naturally present in the plasma of people whose red blood cells do not carry the antigen.These antibodies react against the foreign antigens.Incompatible red blood cells clump together or _____________,which results in a life-threatening hemolytic transfusion reaction.

Accepted Answer

agglutinate
Antibodies that react against the A and B antigens are naturally present in the plasma of people whose red blood cells do not carry the antigen.These antibodies (agglutinins)react against the foreign antigens (agglutinogens).Incompatible red blood cells agglutinate (clump together),which results in a life-threatening hemolytic transfusion reaction.

Question 3

When a patient's adverse reaction to a blood transfusion is differentiated,which of the following signs/symptoms indicates the presence of an anaphylactic response?

Accepted Answer

A)  Wheezing and chest pain 
B)  Headache and muscle pain 
C)  Hypotension and tingling of the extremities 
D)  Crackles in the lungs and increased central venous pressure 
A)  Wheezing and chest pain 
B)  Headache and muscle pain 
C)  Hypotension and tingling of the extremities 
D)  Crackles in the lungs and increased central venous pressure A

Question 4

The patient is brought to the emergency department following a motor vehicle accident and has lost a large volume of blood.The patient's blood type is AB.Which blood type may this patient safely receive in transfusion?

Accepted Answer

A)  Can receive only type AB blood 
B)  Can receive only type O blood 
C)  Can receive all blood types 
D)  Can receive only type A blood 
A)  Can receive only type AB blood 
B)  Can receive only type O blood 
C)  Can receive all blood types 
D)  Can receive only type A blood

Question 5

The patient has received a total of 7 units of blood over the last 24 hours.The nurse assesses the patient's laboratory test results in the morning.Which of the following would be an expected complication?

Accepted Answer

A)  Hypokalemia 
B)  Hypercalcemia 
C)  Hypocalcemia 
D)  Iron deficiency 
A)  Hypokalemia 
B)  Hypercalcemia 
C)  Hypocalcemia 
D)  Iron deficiency

Question 6

Symptoms that indicate an adverse reaction to blood products include which of the following? (Select all that apply.)

Accepted Answer

A)  Fever 
B)  Skin rash 
C)  Hypotension 
D)  Cardiac arrest 
E)   None of above 
A)  Fever 
B)  Skin rash 
C)  Hypotension 
D)  Cardiac arrest 
E)   None of above

Question 7

The average adult has about _______ liters of blood.

Accepted Answer

5
The aver

Question 8

The patient has been home from the hospital for 10 days.On the last day of his hospitalization,he received 2 units of packed RBCs.This morning,he noticed that his skin had a yellow tint to it,and his temperature was elevated.Which reaction may this patient be experiencing?

Accepted Answer

A)  Delayed hemolytic transfusion reaction 
B)  Acute hemolytic transfusion reaction 
C)  A nonhemolytic febrile reaction 
D)  A severe allergic transfusion reaction 
A)  Delayed hemolytic transfusion reaction 
B)  Acute hemolytic transfusion reaction 
C)  A nonhemolytic febrile reaction 
D)  A severe allergic transfusion reaction

Question 9

The nurse is preparing to administer a unit of blood to a patient using blood tubing.On the blood product side of the Y tubing,she will hang blood.What will she hang on the other side of the Y tubing?

Accepted Answer

A)  Dextrose 5% 
B)  Normal saline 
C)  Dextrose 10% 
D)  Dextrose 5%/normal saline 
A)  Dextrose 5% 
B)  Normal saline 
C)  Dextrose 10% 
D)  Dextrose 5%/normal saline

Question 10

The patient is about to receive 2 units of blood.The most common method used for blood transfusion is to administer blood from someone other than the patient.Blood donated from someone else is known as ________________ blood.

Accepted Answer

allogenic
The most common meth

Question 11

Although six common types of Rh antigen may be present on the surface of red blood cells,the _______________ antigen is widely prevalent and is most likely to elicit an immune response.

Accepted Answer

type D
Although six common typ

Question 12

Under the ABO system,the blood type __________ can be given to any individual and is known as the "Universal Donor."

Accepted Answer

O negative
O negative can be g

Question 13

What is the purpose of administering a transfusion? (Select all that apply.)

Accepted Answer

A)  Restore intravascular volume 
B)  Restore oxygen-carrying capacity of blood 
C)  Provide clotting factors 
D)  Improve blood pressure 
A)  Restore intravascular volume 
B)  Restore oxygen-carrying capacity of blood 
C)  Provide clotting factors 
D)  Improve blood pressure

Question 14

The patient is receiving blood when he suddenly complains of low back pain and develops diaphoresis and chills.The nurse should: (Select all that apply.)

Accepted Answer

A)  Stop the transfusion 
B)  Start the normal saline connected to the Y tubing 
C)  Notify the physician 
D)  Start normal saline using new IV tubing 
A)  Stop the transfusion 
B)  Start the normal saline connected to the Y tubing 
C)  Notify the physician 
D)  Start normal saline using new IV tubing

Question 15

For how long may packed red blood cells (RBCs)be stored,if not frozen?

Accepted Answer

A)  4 weeks 
B)  Several years 
C)  72 hours 
D)  24 hours 
A)  4 weeks 
B)  Several years 
C)  72 hours 
D)  24 hours

Question 16

The patient is scheduled to receive 1 unit of packed RBCs.She has small,fragile veins,and a 22-gauge intravenous (IV)patent catheter is in place.What should the nurse do?

Accepted Answer

A)  Cancel the blood transfusion 
B)  Insert a 16-gauge IV catheter into the antecubital fossa 
C)  Use the IV catheter that is in place 
D)  Transfuse the blood over 6 hours 
A)  Cancel the blood transfusion 
B)  Insert a 16-gauge IV catheter into the antecubital fossa 
C)  Use the IV catheter that is in place 
D)  Transfuse the blood over 6 hours

Question 17

The nurse is administering blood.What should the nurse do to detect a blood reaction as quickly as possible?

Accepted Answer

A)  Remain with the patient during the first 15 minutes 
B)  Transfuse the blood at 10 mL/min 
C)  Monitor vital signs q 1 hour 
D)  Transfuse blood at 50 gtt/min 
A)  Remain with the patient during the first 15 minutes 
B)  Transfuse the blood at 10 mL/min 
C)  Monitor vital signs q 1 hour 
D)  Transfuse blood at 50 gtt/min

Question 18

An appropriate technique for the nurse to implement for a blood transfusion is to:

Accepted Answer

A)  Provide medication through the IV line with the blood 
B)  Regulate the flow of blood so that it infuses over 8 hours 
C)  Clear the IV tubing with normal saline after the blood infuses 
D)  Administer a blood product with clots through a filter line 
A)  Provide medication through the IV line with the blood 
B)  Regulate the flow of blood so that it infuses over 8 hours 
C)  Clear the IV tubing with normal saline after the blood infuses 
D)  Administer a blood product with clots through a filter line

Question 19

A systemic response to the administration of a blood product that is incompatible with the blood of the recipient,contains allergens to which the recipient is sensitive or allergic,or is contaminated with pathogens is known as a ________________.

Accepted Answer

hemolytic reaction
A hemolytic reaction

Question 20

The patient is receiving a unit of packed RBCs.Fifteen minutes into the procedure,he complains of severe kidney pain,and his temperature increases 3 degrees Fahrenheit.The nurse stops the transfusion immediately,suspecting that which of the following reactions is occurring?

Accepted Answer

A)  A delayed hemolytic transfusion reaction 
B)  A nonhemolytic febrile reaction 
C)  An acute hemolytic transfusion reaction 
D)  A severe allergic reaction 
A)  A delayed hemolytic transfusion reaction 
B)  A nonhemolytic febrile reaction 
C)  An acute hemolytic transfusion reaction 
D)  A severe allergic reaction

Exam 29: Blood Transfusions

A nurse is concerned about the type of blood that a patient is to receive.Which type blood may a patient with an O blood type safely receive?

When a patient's adverse reaction to a blood transfusion is differentiated,which of the following signs/symptoms indicates the presence of an anaphylactic response?

The patient is brought to the emergency department following a motor vehicle accident and has lost a large volume of blood.The patient's blood type is AB.Which blood type may this patient safely receive in transfusion?

The patient has received a total of 7 units of blood over the last 24 hours.The nurse assesses the patient's laboratory test results in the morning.Which of the following would be an expected complication?

Symptoms that indicate an adverse reaction to blood products include which of the following? (Select all that apply.)

The average adult has about _______ liters of blood.

The patient has been home from the hospital for 10 days.On the last day of his hospitalization,he received 2 units of packed RBCs.This morning,he noticed that his skin had a yellow tint to it,and his temperature was elevated.Which reaction may this patient be experiencing?

The nurse is preparing to administer a unit of blood to a patient using blood tubing.On the blood product side of the Y tubing,she will hang blood.What will she hang on the other side of the Y tubing?

The patient is about to receive 2 units of blood.The most common method used for blood transfusion is to administer blood from someone other than the patient.Blood donated from someone else is known as ________________ blood.

Although six common types of Rh antigen may be present on the surface of red blood cells,the _______________ antigen is widely prevalent and is most likely to elicit an immune response.

Under the ABO system,the blood type __________ can be given to any individual and is known as the "Universal Donor."

What is the purpose of administering a transfusion? (Select all that apply.)

The patient is receiving blood when he suddenly complains of low back pain and develops diaphoresis and chills.The nurse should: (Select all that apply.)

For how long may packed red blood cells (RBCs)be stored,if not frozen?

The patient is scheduled to receive 1 unit of packed RBCs.She has small,fragile veins,and a 22-gauge intravenous (IV)patent catheter is in place.What should the nurse do?

The nurse is administering blood.What should the nurse do to detect a blood reaction as quickly as possible?

An appropriate technique for the nurse to implement for a blood transfusion is to:

A systemic response to the administration of a blood product that is incompatible with the blood of the recipient,contains allergens to which the recipient is sensitive or allergic,or is contaminated with pathogens is known as a ________________.

The patient is receiving a unit of packed RBCs.Fifteen minutes into the procedure,he complains of severe kidney pain,and his temperature increases 3 degrees Fahrenheit.The nurse stops the transfusion immediately,suspecting that which of the following reactions is occurring?

Using Evidence in Nursing Practice

Admitting, transfer, and Discharge

Communication

Reporting and Recording

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bedmaking

Pressure Ulcer Care

Care of Eye and Ear Prostheses

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination

Ostomy Care

Preoperativepostoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Warm and Cold Therapy

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

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