Question 1

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,the nurse will hang blood.What will be hung on the other side of the Y tubing?

Accepted Answer

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

Question 2

Transfusion therapy is the intravenous (IV)administration of which of the following? (Select all that apply. )

Accepted Answer

A)  Whole blood
B)  Plasma products
C)  Red blood cells (RBCs) 
D)  Platelets A,B,C,D

Question 3

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 _________.

Accepted Answer

hemolytic reaction
A hemolytic reaction is 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.

Question 4

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

Question 5

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

Accepted Answer

A)  whole blood.
B)  packed RBCs.
C)  cryoprecipitate.
D)  albumin,25% pooled.

Question 6

The presence or absence of specific antigens on the surface of red blood cells determines ___________________ in the ABO system.

Accepted Answer

The answer of The presence or absence of specific antigens...

Question 7

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

Accepted Answer

The answer of A transfusion in which the donor is...

Question 8

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

Accepted Answer

A)  21 days
B)  35 days
C)  42 days
D)  3 months

Question 9

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?

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.

Question 10

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?

Accepted Answer

A)  Delayed hemolytic transfusion reaction
B)  Nonhemolytic febrile reaction
C)  Acute hemolytic transfusion reaction
D)  Severe allergic reaction

Question 11

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

Accepted Answer

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

Question 12

The patient is to receive 2 units of packed red blood cells (RBCs).Before administering the blood,what does the nurse need to do? (Select all that apply. )

Accepted Answer

A)  Insert an 18-gauge intravenous (IV) cannula.
B)  Have the patient complete a consent form.
C)  Obtain pretransfusion vital signs.
D)  Notify the physician for a temperature of 37°C.

Question 13

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?

Accepted Answer

A)  The type A antigen is present.
B)  The type B antigen is present.
C)  Neither type A nor type B antigens are present.
D)  Both type A and type B antigens are present.

Question 14

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?

Accepted Answer

A)  Delayed hemolytic transfusion reaction
B)  Acute hemolytic transfusion reaction
C)  Nonhemolytic febrile reaction
D)  Severe allergic transfusion reaction

Question 15

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?

Accepted Answer

A)  Warm the blood in a microwave.
B)  Warm the blood using hot water.
C)  Warm the blood using a blood warmer.
D)  Allow the blood to warm to room temperature before administering.

Question 16

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

Question 17

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

Accepted Answer

A)  Set up the Y tubing.
B)  Obtain 0.9% saline.
C)  Verify the blood product and the patient.
D)  Have the patient void or empty the urine drainage container.

Question 18

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 _________________.

Accepted Answer

The answer of The patient has received blood within the...

Question 19

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?

Accepted Answer

A)  Sodium (Na) 
B)  Calcium (Ca) 
C)  Potassium (K) 
D)  Iron (Fe)

Question 20

The patient is to receive 1 unit of packed red blood cells (RBCs).The nurse obtains the blood from the blood bank and returns to the unit to find that the patient has been taken to radiology for a computed tomography (CT)scan and is expected to return in about an hour.What should the nurse do?

Accepted Answer

A)  Go to radiology and administer the blood.
B)  Keep the blood refrigerated until the patient returns.
C)  Return the blood to the blood bank.
D)  Hang the blood in the patient's room and start it when the patient returns.

Exam 30: Blood Therapy

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,the nurse will hang blood.What will be hung on the other side of the Y tubing?

Transfusion therapy is the intravenous (IV) administration of which of the following? (Select all that apply. )

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

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

The presence or absence of specific antigens on the surface of red blood cells determines ___________________ in the ABO system.

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

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

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 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?

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

The patient is to receive 2 units of packed red blood cells (RBCs) .Before administering the blood,what does the nurse need to do? (Select all that apply. )

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 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?

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?

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?

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?

The patient is to receive 1 unit of packed red blood cells (RBCs) .The nurse obtains the blood from the blood bank and returns to the unit to find that the patient has been taken to radiology for a computed tomography (CT) scan and is expected to return in about an hour.What should the nurse do?