Question 1

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

Accepted Answer

A) provide medication through the intravenous (IV)tubing 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 intravenous (IV)tubing 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 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 agains

Question 3

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 normal saline connected to the Y tubing. 
C) notify the physician. 
D) start normal saline using new intravenous (IV)tubing. 
A) stop the transfusion. 
B) start normal saline connected to the Y tubing. 
C) notify the physician. 
D) start normal saline using new intravenous (IV)tubing.

Question 4

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

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

Question 5

The patient has received a total of 7 units of blood over the past 8 hours.The nurse assesses the patient's laboratory test results.Which of the following would be an expected complication?

Accepted Answer

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

Question 6

The nurse is administering 1 unit of packed red blood cells as ordered by the primary care provider.While the nurse is measuring vital signs 15 minutes after starting the transfusion,the patient complains of chills and back pain.What is the nurse's first action?

Accepted Answer

A) Stop the blood transfusion and keep the vein patent by administering saline to infuse from the other side of the Y tubing. 
B) Slow the blood transfusion and notify the charge nurse. 
C) Disconnect the blood tubing from the catheter and replace it with an infusion of normal saline. 
D) Stop the blood transfusion and notify the primary care provider. 
A) Stop the blood transfusion and keep the vein patent by administering saline to infuse from the other side of the Y tubing. 
B) Slow the blood transfusion and notify the charge nurse. 
C) Disconnect the blood tubing from the catheter and replace it with an infusion of normal saline. 
D) Stop the blood transfusion and notify the primary care provider.

Question 7

The patient is brought to the emergency department after 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) Only type AB blood 
B) Only type O blood 
C) All blood types 
D) Only type A blood 
A) Only type AB blood 
B) Only type O blood 
C) All blood types 
D) Only type A blood

Question 8

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 9

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.

Exam 30: Blood Therapy

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

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. )

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

The patient has received a total of 7 units of blood over the past 8 hours.The nurse assesses the patient's laboratory test results.Which of the following would be an expected complication?

The nurse is administering 1 unit of packed red blood cells as ordered by the primary care provider.While the nurse is measuring vital signs 15 minutes after starting the transfusion,the patient complains of chills and back pain.What is the nurse's first action?

The patient is brought to the emergency department after 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?

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

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

Using Evidence in Practice

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

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