Ch 11 Blood Transfusions Flashcards Quizlet PDF

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2019. 10. 18.

ch 11 Blood Transfusions Flashcards | Quizlet

ch 11 Blood Transfusions STU DY

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Terms in this set (85) autologous donation

thrombocytopenia https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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which diseases is donated blood screened for? (6)

indications for packed red blood cells (PRBCs) (3)

indications for fresh frozen plasma (3)

indication for platelets

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catheter gauge for blood transfusions

type of tubing used for blood transfusions https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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type of filter used for blood transfusions

how many mL in a unit of whole blood?

how many mL in a unit of packed red blood cells (PRBCs)?

blood must be transfused within what time period?

which IV solutions are compatible with blood?

each unit of blood will raise a pt's Hgb by how many points?

each unit of blood will raise a pt's Hct by how https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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much?

how often to check pt's vitals during a transfusion

when would you use a blood warmer?

at what rate do you transfuse blood and PRBCs?

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no more than ___ (time) can pass between taking the blood out of the refrigerator and starting the transfusion

what to double check with another RN pretransfusion (6) https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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5 types of transfusion reactions

febrile reaction: symptoms (4)

febrile reaction: nursing interventions (4)

fluid/circulatory overload: respiratory symptoms (4)

fluid/circulatory overload: cardiovascular symptoms (4)

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fluid/circulatory overload: nursing interventions (4)

septicemia: symptoms (6)

septicemia: nursing interventions (5)

mild allergic reaction: symptoms (3)

mild allergic reaction: nursing interventions (5)

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anaphylactic reaction: symptoms (4)

anaphylactic reaction: nursing interventions (3)

acute hemolytic reaction: symptoms (6)

acute hemolytic reaction: nursing interventions (5)

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The universal recipient is a person with blood type: a. A-positive b. AB-positive c. O-negative d. AB-negative

The universal donor is a person with blood type: a. A-positive b. AB-positive c. O-negative d. AB-negative

A person with group O blood type may receive which of the following RBCs? a. group A only b. group O only c. group AB and O d. any blood group

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? https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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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?"

Packed 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 (HCP). 4. Administer two tablets of acetaminophen (Tylenol) and begin the transfusion. https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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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. Skin color 2. Vital signs 3. Urine output 4. Latest hematocrit level

A client is brought to the emergency department having experienced blood loss related to an arterial laceration. Which blood component should the nurse expect the healthcare provider to prescribe? 1. platelets 2. granulocytes 3. fresh-frozen plasma 4. packed red blood cells

The nurse has just received a prescription to transfuse a unit of packed red blood cells https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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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 minutes 3. 30 minutes 4. 45 minutes

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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

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The nurse is told by a health care provider that a client in hypovolemic shock will require plasma expansion. The nurse anticipates receiving a prescription to transfuse which product? 1. Albumin 2. Platelets 3. Cryoprecipitate 4. Packed red blood cells

A 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

A client receiving a transfusion of packed red blood cells (PRBCs) begins to vomit. The client's blood pressure is https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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90/50 mm Hg from a baseline of 125/78 mm Hg. The client's temperature is 100.8° F orally from a baseline of 99.2° F 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 enters a client's room to assess the client, who began receiving a blood transfusion 45 minutes earlier, and notes that the client is flushed and dyspneic. On assessment, the nurse auscultates the presence of crackles in the lung bases. The nurse determines that this client most likely is experiencing which complication of blood transfusion therapy? 1. Bacteremia 2. Hypovolemia 3. Circulatory overload 4. Transfusion reaction https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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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 actions 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 nurse is monitoring a client who is receiving a blood transfusion. After 30 minutes of the infusion, the client begins to have chills and back https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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pain. His temperature is 100.1° F (37.8° C). What action should the nurse take first? 1. Assess the client for other symptoms. 2. Slow the blood transfusion and monitor the client's vital signs. 3. Remind the client that these are expected reactions to a blood transfusion. 4. Discontinue the infusion and start an infusion of normal saline using new tubing.

The nurse is picking up a unit of packed red blood cells at the hospital blood bank. After putting the pen down, the nurse glances at the clock, which reads 1:00. The nurse calculates that the transfusion must be started by which time? 1. 1:30 2. 2:00 3. 2:30 4. 3:00

A client with severe blood loss resulting from https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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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

One unit of packed red blood cells has been prescribed for a client with severe anemia. The https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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client has received multiple transfusions in the past, and it is documented that the client has experienced urticaria-type reactions from the transfusions. The nurse anticipates that which medication will be prescribed before administration of the red blood cells to prevent this type of reaction? 1. Ibuprofen (Motrin IB) 2. Acetaminophen (Tylenol) 3. Acetylsalicylic acid (aspirin) 4. Diphenhydramine (Benadryl)

A nurse has a prescription to transfuse a unit of packed red blood cells to a client who does not currently have an intravenous (IV) line inserted. When obtaining supplies to start the IV infusion, the nurse should select an angiocatheter of which size? 1. 19 gauge 2. 21 gauge

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Which of the following diseases is donor blood screened for? (Select all that apply) a. Hepatitis B b. West Nile virus c. Crohn's disease d. Epstein-Barr virus (EBV)

The nurse is preparing an infusion for a pt who has a deficiency in clotting factors. Which type of infusion is most appropriate? a. albumin 5% b. packed RBCs c. whole blood d. fresh frozen plasma

A client has experienced high blood pressure and crackles in the lungs during previous blood transfusions. The client https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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asks the nurse whether it is safe to receive another transfusion. The nurse explains that which medication most likely will be prescribed before the transfusion is begun? 1. Furosemide 2. Acetaminophen 3. Diphenhydramine 4. Acetylsalicylic acid

The nurse has just obtained a unit of blood from the blood bank to transfuse into a client as prescribed. Before preparing the blood for transfusion, the nurse looks for which member of the health care team to assist in checking the unit of blood? 1. Phlebotomist 2. Medical student 3. Registered nurse (RN) 4. Blood bank technician

The nurse is assisting in monitoring a client who is receiving a transfusion of packed red blood cells (PRBCs). Before leaving the room, the nurse tells the client to immediately report which symptoms https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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of a transfusion reaction? (Select all that apply) 1. Chills 2. Fatigue 3. Sleepiness 4. Chest pain 5. Low back pain 6. Difficulty breathing

The initial nursing intervention for an acute hemolytic transfusion reaction would be to: a. slow the transfusion and call the health care provider b. stop the transfusion and turn the saline side of the administration set on at a slow keep open rate c. stop the transfusion, disconnect the tubing from the IV catheter, and initiate new saline and tubing to keep the vein open d. stop the transfusion and turn the saline side of the administration set on at a rapid rate

The nurse, listening to the morning report, learns that an assigned client https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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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

The nurse enters a client's room who began receiving a blood transfusion 45 minutes earlier to check on the client. The client is dyspneic and has a bounding pulse. The nurse listens to the client's lung sounds and notes the presence of crackles in the lung bases. Which complication of blood transfusion therapy should the nurse determine that this client is most likely experiencing? 1. Bacteremia 2. Fluid overload 3. Hypovolemic shock https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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4. Allergic transfusion reaction

Which action by the nurse is most appropriate for the pt receiving an infusion of PRBCs? a. flush the IV line with normal saline before the blood is added to the infusion b. flush the IV line with dextrose before the blood is added to the infusion c. check the pt's vital signs once the infusion is completed d. anticipate that flushed skin and fever are expected reactions to a blood transfusion

The nurse has just received a prescription to transfuse a unit of PRBCs for an assigned client. Which action should the nurse take next? 1. check a set of vitals 2. order the blood from the blood bank 3. obtain Y-site blood https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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administration tubing 4. check to be sure that consent for the transfusion has been signed

The nurse who is about to begin a blood transfusion knows that blood cells start to deteriorate after a certain period of time. The nurse takes which actions in order to prevent a complication of the blood transfusion as it relates to deterioration of blood cells? Select all that apply. 1. Checks the expiration date 2. Inspects for the presence of clots 3. Checks the blood group and type 4. Checks the blood identification number 5. Hangs the blood within the specified time frame per agency policy

The nurse is caring for a client who is receiving a blood transfusion and is complaining of a cough. https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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The nurse checks the client's vital signs, which include temperature of 97.2° F (36.2° C), pulse of 108 bpm, BP of 152/76, respiratory rate of 24 breaths/min, and an oxygen saturation level of 95% on room air. The client denies pain at this time. Based on this information, what initial action should the nurse take? 1. collect a urine sample for analysis 2. place the client in an upright position 3. compare current data to baseline data 4. slow the rate of the blood transfusion

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 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 https://quizlet.com/273239883/ch-11-blood-transfusions-flash-cards/

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tip of the catheter device removed from the client

A nurse is caring for a client who has an activated partial thromboplastin time (aPTT) greater than 1.5 times the expected reference range. Which of the following blood products should the nurse prepare to transfuse? a. whole blood b. platelets c. fresh frozen plasma d. packed red blood cells

The nurse monitors for which signs of a possible transfusion reaction when a pt is receiving blood products? a. subnormal temperature and hypertension b. apprehension, restlessness, fever, and chills c. decreased pulse and respirations and fever

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d. headache, nausea, and lethargy A nurse is preparing to transfuse a unit of PRBCs for a client who has severe anemia. Which of the following interventions will prevent an acute hemolytic reaction? a. ensuring that the client has a patent IV line before obtaining the blood product from the refrigerator b. obtain help from another nurse to confirm the correct client and blood product c. take a complete set of vital signs before beginning transfusion and periodically during the transfusion d. stay with the client for the first 15-30 min of the transfusion

While receiving a unit of PRBCs, the pt develops chills and a temperature of 102.2°F (39°C). What is the priority action for the nurse to take? a. notify the health care provider and the blood https://quizlet.com/273239883/ch-11-bl...