Summary
NUR 212 Blood Administration Summary
- Course
- NUR 212
- Institution
- Gwynedd Mercy University
This is a comprehensive and detailed summary on blood administration. *Essential Study Material!!
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Blood AdministrationPacked red blood cells have been prescribed for a client with low hemoglobin and hematocrit
levels. The nurse takes the client's temperature before hanging the blood transfusion and records
100.6 F orally. Which action should the nurse take?
1) Begin the transfusion as prescribed.
2) Administer an antihistamine and begin the transfusion.
3) Delay hanging the blood and notify the health care provider.
4) Administer two tablets of acetaminophen (Tylenol) and begin the transfusion.
The nurse has received a prescription to transfuse a client with a unit of packed red blood cells.
Before explaining the procedure to the client, the nurse should ask which INITIAL question?
1) "Have you ever had a transfusion before?"
2) "Why do you think that you need the transfusion?"
3) "Have you ever gone into shock for any reason in the past?"
4) "Do you know the complications and risks of a transfusion?"
A client receiving a transfusion of packed red blood cells (PRBCs) begins to vomit. The client's
blood pressure is 90/50 from a baseline of 125/78. The client's temperature is 100.8F orally from
a baseline of 99.2F orally. The nurse determines that the client may be experiencing which
complication of a blood transfusion?
1) Septicemia
2) Hyperkalemia
3) Circulatory overload
4) Delayed transfusion reaction
The nurse determines that a client is having a transfusion reaction. After the nurse stops the
transfusion, which action should be taken NEXT?
1) Remove the intravenous (IV) line.
2) Run a solution of 5% dextrose in water.
3) Run normal saline at a keep-vein-open rate.
4) Obtain a culture of the tip of the catheter device removed from the client.
The nurse has just received a unit of packed red blood cells from the blood bank for transfusion
to an assigned client. The nurse is careful to select tubing especially made for blood products,
knowing that this tubing is manufactured with which item?
1) An air vent
2) Tinted tubing
3) An in-line filter
4) A microdrip chamber
,The client has received a transfusion of platelets. The nurse evaluates that the client is benefiting
most from this therapy if the client exhibits which finding?
1) Increased hematocrit level
2) Increased hemoglobin level
3) Decline of elevated temperature to normal
4) Decreased oozing of blood from puncture sites and gums
The nurse has obtained a unit of blood from the blood bank and has checked the blood bag
properly with another nurse. Just before beginning the transfusion, the nurse should assess which
PRIORITY item?
1) Vital signs
2) Skin color
3) Urine output
4) Latest hematocrit level
The nurse has just received a prescription to transfuse a unit of packed red blood cells for an
assigned client. Approximately how long will the nurse need to stay with the client to ensure that
a transfusion reaction is not occurring?
1) 5 minutes
2) 15 mintues
3) 30 minutes
4) 45 mintues
Following infusion of a unit of packed red blood cells, the client has developed new onset of
tachycardia, bounding pulses, crackles, and wheezes. Which action should the nurse implement
FIRST?
1) Maintain bed rest with legs elevated
2) Place the client in high-Fowler's position
3) Increase the rate of infusion of intravenous fluids
4) Consult with the HCP regarding initiation of oxygen therapy.
The nurse, listening to the morning report, learns that an assigned client received a unit of
granulocytes the previous evening. The nurse makes a note to assess the results of which daily
serum laboratory studies to assess the effectiveness of the transfusion?
1) Hematocrit level
2) Erythrocyte count
3) Hemoglobin level
4) White blood cell count
, A client is brought to the emergency department having experienced blood loss related to an
arterial laceration. Fresh-frozen plasma is prescribed and transfused to replace fluid and blood
loss. The nurse understands that which is the rationale for transfusing fresh-frozen plasma to this
client?
1) To treat the loss of platelets
2) To promote rapid volume expansion
3) Because a transfusion must be done slowly
4) Because it will increase the hemoglobin and hematocrit levels
The nurse who is about to begin a blood transfusion knows that blood cells start to deteriorate
after a certain period of time. Which item is important to check regarding the age of blood cells
before the transfusion is begun?
1) Expiration date
2) Presence of clots
3) Blood group and type
4) Blood identification number
A client requiring surgery is anxious about the possible need for a blood transfusion during or
after the procedure. The nurse suggests to the client to take which action(s) to reduce the risk of
possible transfusion complications? SELECT ALL THAT APPLY.
1) Ask a family member to donate blood ahead of time.
2) Give an autologous blood donation before the surgery.
3) Take iron supplements before surgery to boost hemoglobin levels.
4) Request that any donated blood be screened twice by the blood bank.
5) Take adequate amounts of vitamin C several days prior to the surgery date.
A client with severe blood loss resulting from multiple trauma requires rapid transfusion of
several units of blood. The nurse asks another health team member to obtain which device for
use during the transfusion procedure to help reduce the risk of cardiac dysrhythmias?
1) Infusion pump
2) Pulse oximeter
3) Cardiac monitor
4) Blood-warming device
A client has a prescription to receive a unit of packed red blood cells. The nurse should obtain
which intravenous (IV) solution from the IV storage area to hang with the blood product at the
client's bedside?
1) Lactated Ringer's
2) 0.9% sodium chloride
3) 5% dextrose in 0.9% sodium chloride
4) 5% dextrose in 0.45% sodium chloride
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