Q1: Packed RBC’s have been ordered for a patient with low…

Question Answered step-by-step Q1: Packed RBC’s have been ordered for a patient with low… Q1: Packed RBC’s have been ordered for a patient with low hemoglobin and low hematocrit levels. The practical nurse takes the client’s temperature before hanging the blood transfusion and assess a temperature of 38.6. which of the following actions should the practical nurse do ?a) delay hanging the blood and inform the physicianb) administer an anti-pyretic and begin the transfusionc) proceed with the transfusion and notify the physiciand) administer an antihistamine and begin transfusion.Q2: A bus accident occurred in a rural area several patients taken to the local hospital required blood transfusion resulting in a decreased supply of whole blood. One patient is blood type B. The blood bank sends type O-negative RBC’s . What is the nurse best action?a) Return the blood to the blood bankb) Administer the type o-negative bloodc) begin IV fluids until type B blood is obtainedd) Complete an incident reportQ4: The nurse initiates a blood transfusion at 0800. when would an acute hemolytic transfusion reaction most likely occur?a) By 0815b) By 0830c) 2-4 hours after completiond) 2-14 days after completionQ3:what component of the laboratory blood record will the practical nurse not need to verify with a Registered Nurse prior to administering the blood product?a) Patient’s ABO groupb) Patient’s Room numberc) Volume of blood productd) Unit number on blood productQ5: The nurse obtains the patient’s Vital signs prior to initiating a blood transfusion. The patient’s Vital signs are BP 114/78, T 38 C, P 88 , R 20 what is the nurse most appropriate action?a) Record the vital signs and initiate the blood therapy slowlyb) Notify the health care provider of the pre-transfusion vital signsc) continue to monitor the patient’s vital signs and if the temperature is > 38.5 administer an antipyreticd) administer an antipyretic and antihistamine and initiate the transfusionQ6: A patient is to receive an autologous blood transfusion. The patient tells the nurse he is afraid to receive someone else blood because of the possibility of contracting a disease wha tis the nurse best response?a) You can request an allogenic blood transfusion insteadb) we can give you Benadryl before the transfusion to help prevent transmission of diseasec) I can contact the health care provider to see if platelets could be used rather than bloodd) The autologous blood is your own blood that is transfusedQ7: what diluent is required for this medication? the package insert states diluents 0.9% Nacla) sodiumb) Bacteriostatic waterc) sterile waterd) dextrose and sodium chlorideQ9: During the administration of a blood transfusion the patient begins to complain of feeling itchy, having difficulty breathing appears anxious and is flushed what should the practical nurse do first ?a) Administer a antihistamines as orderedb) establish a second peripheral IV for emergency drugsc) Apply oxygen at 24% via face maskd) discontinue the transfusionQ10: A patient has received 3 units of red blood cells. Albumin 5% is now prescribed what is the primary reason the nurse changes the blood administration tubing between packed RBC and albumin?a) blood tubing must be changed every 6 unitsb) Albumin is unable to pass through tubing that has previously filtered red blood cellsc) Albumin must be infused using vented tubingd) blood tubing must be changed every hourQ11: which of the following actions may produce an undesirable outcome?a) The nurse adds a piggyback infusion of antibiotic to a main IV line of parenteral nutritionb) The nurse explores the patient’s cultural beliefs regarding the use of alcohol, herbal remedies and dietary preferencesc) The nurse verifies the prescribed dilution an rate of administration so that the medication is given over the appropriate amount of time in the appropriate concentrationd) the nurse administer solutions and medications prepared and dispensed from the pharmacy or as commercially prepared when possibleQ12: a unit of packed RBC has been started at 0900 on a client . At 0930 the practical nurse assess that the peripheral IV has infiltrated . which of the following is the best action the practical nurse should do?a) Return the unit to the blood bank where it will be storedb) Throw the unit into a biohazard waste bag and obtain a new blood bagc) obtain a start peripheral IV insertion and infuse the remaining blood until 1330 hd) obtain a stat peripheral IV insertion an infuse the remaining blood until 1300 hQ13: a patient has low hemoglobin and hematocrit values, the nurse would expect the health care provider to order a transfusion of which of the following ?a) FFPb) Plateletsc) RBC’sd) clotting factorsQ14: Mr. Jones is ordered 1 unit of packed red blood cells. his blood type results showed that he is A positive. when the practical nurse and registered nurse check the blood product label, the ABO group and Rh type was O-negative . which of the following is the most appropriate action the practical nurse should take ?a) Transfuse the blood that was sent to you by the blood bankb) Notify the doctor so they order another cross matchc) Retrieve a unit of B- negative packed RBC’sd) Notify the blood bank that they have sent the incorrect ABO compatibility for this patientQ15: identify the IV needle gauge typically recommended to infuse blood products in an adulta) 14-16 Gb) 18-22 Gc) 16-18 Gd) 22- 24 GQ16: upon inspection a unit of blood from the blood bank shows several blood clots clinging to the bag. The nurse best course of action isa) Notify the blood bankb) Administer the blood through the blood filter in the blood tubingc) add citrate phosphate dextrose (CPD) to the bloodd) shake the bag to break up the clots into smaller piecesQ17: The nurse is initiating a blood transfusion of packed RBC’s at what rate should the infusion initially be set?a) 2ml/minb) 10ml/minc) 15ml/mind) 20 ml/minQ18: identify the blood component that decreases microvascular bleeding during surgery and does not require ABO/Rh testing ?a) whole bloodb) red blood cellsc) plasmad) cryoprecipitateQ19: a patient receiving an auto transfusion has an estimated blood loss of half of their blood volume. A health care provider has ordered FFP. The nurse correctly understands that the primary rationale for using FFPisa) to increase hematocrit and hemoglobin levelsb) to provide clotting factors and increase blood volumec) to replace the loss of platelets and clotting factorsd) to prevent a transfusion reaction to the autologous bloodQ20: after transfusion of several units of blood a patient continues to bleed . what should the nurse anticipate the heath care provider to order?a) Albuminb) plateletsc) whole bloodd) red blood cellsQ21: which blood product places a patient at a higher risk of fluid overload after transfusion?a)whole bloodb) red blood cellsc) plateletsd) cryoprecipitateQ22: blood lab results show the patient’s clotting factors are within normal limits but the hemoglobin is 68 g/L the physician has ordered one unit of FFP. what is the practical nurse priority action?a) send the lab requisition to retrieve the fresh frozen plasmab) clarify the order with the physicianc) transfuse the ordered blood productd) notify the blood bankQ24: a patient Who is classified as a universal recipient has which blood type?a) o-negativeb) o-positivec) AB negatived) AB positiveQ23: The nurse initiates a blood transfusion and monitors the patient for signs of a transfusion reaction. Five minutes into the transfusion, which would be cause for concern?a) Temperature 37 degrees Celsiusb) patient complains of flank pain and chillsc) systolic blood pressure increase by 4 mmHg from baselined) patient complains of being tired and sleepyQ29: what action should the practical nurse take if she/he thinks that a prescribed medication may be wrong for a particulara) change it get confirmation from the doctor and or supervisorb) administer it as it is unlikely that the doctor of pharmacist made a mistakec)administer it as there likely won’t be any adverse side effectsd) don’t administer it and make a note in the patient’s chart explaining the reason it why Health Science Science Nursing Share QuestionEmailCopy link Comments (0)