Exam 30: Blood Therapy

The patient has received blood within the past 6 hours.The patient begins to feel short of breath and calls for the nurse.The nurse finds that the patient is dusky in color with crackles throughout his lungs and is coughing up pink frothy sputum.The nurse calls the physician immediately,knowing that the patient is showing signs of _________________.

What is the purpose of administering a transfusion?

A transfusion in which the donor is the patient is known as an ______________ transfusion or autotransfusion.

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

The specific blood product used for replacement of clotting factors and fibrinogen is:

The patient is to receive 2 units of packed red blood cells (RBCs).The units are cold,and the nurse is concerned that this could lead to dysrhythmias and/or a reduction in core temperature.What action may the nurse take to prevent this?

For how long may blood preserved with citrate-phosphate-dextrose (CPD)be stored (unfrozen)before use?

The nurse is caring for a patient who is receiving blood while monitoring the patient for potential complications.The nurse knows that a systemic response to 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 _________.

Symptoms that indicate an adverse reaction to blood products include which of the following?

The patient is receiving blood when he suddenly complains of low back pain and develops diaphoresis and chills.The nurse should:

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 receiving a unit of packed red blood cells (RBCs).Fifteen minutes into the procedure,he complains of severe kidney pain,and his temperature increases by 3°F.The nurse stops the transfusion immediately,suspecting that which of the following reactions is occurring?

The nurse is caring for a patient who needs a blood transfusion.The patient has been tested and was found to have blood type O.The nurse knows this means that which antigen is present on the surface of the red blood cells?

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

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

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.

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 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?

What primary intervention should a nurse who is preparing a blood transfusion perform?

The patient is scheduled to receive a blood transfusion.Preadministration laboratory tests are run to assess the level of which component in the patient's blood?