Hematology: Blood Transfusion and Disorders

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What is the primary concern when administering blood or blood products?

Therapeutic procedures
Elective surgery
Incompatibility (correct)
Hemolysis

What is the result of administering Rh positive blood to an Rh negative person?

Clotting factor activation
Albumin production
Formation of antibodies
Hemolysis (correct)

What is the purpose of collecting a client's own blood in anticipation of future transfusions?

For elective surgery
To donate to other patients
For use by other healthcare professionals
To designate for and use only by the client (correct)

What is the term for the presence of D antigen in blood?

Rh positive (D) Signup and view all the answers

What is the blood component that includes clotting factors, prothrombin complex, and cryoprecipitate?

Plasma (B) Signup and view all the answers

What is the term for the administration of blood or components of whole blood?

Blood transfusion (A) Signup and view all the answers

What is the primary purpose of a cell-saver machine during orthopedic surgery?

To salvage blood loss for intraoperative or postoperative transfusion (C) Signup and view all the answers

What is the primary reason for remaining with the client for the first 15 minutes of the blood transfusion?

To monitor vital signs and respiratory status (D) Signup and view all the answers

What is the primary indication for transfusing fresh frozen plasma?

Coagulation factor deficiencies such as hemophilia (D) Signup and view all the answers

What is the recommended step before initiating a blood transfusion?

Verify the order for specific blood products (B) Signup and view all the answers

What should be done if signs of reaction occur during the blood transfusion?

Notify the primary care provider immediately (A) Signup and view all the answers

What is the purpose of using a white blood cell filter during a blood transfusion?

To reduce febrile reactions (A) Signup and view all the answers

What is the minimum platelet count that may indicate the need for platelet transfusion?

20,000 (A) Signup and view all the answers

Why is it important to inspect the blood product before transfusion?

To identify discoloration, excessive bubbles, or cloudiness (B) Signup and view all the answers

What should be done with the blood-administration set after the transfusion is complete?

Dispose of the set in a biohazard bag (A) Signup and view all the answers

What laboratory tests should be monitored after the blood transfusion?

Hemoglobin, hematocrit, and blood urea nitrogen (D) Signup and view all the answers

What is the recommended fluid to prime the blood administration set with?

Normal saline (D) Signup and view all the answers

What is a potential complication of acute hemolytic reactions?

Cardiovascular collapse (A) Signup and view all the answers

What is the primary action to take if a mild allergic reaction is suspected during a blood transfusion?

Stop the transfusion immediately and initiate a saline infusion (B) Signup and view all the answers

Which of the following symptoms is NOT indicative of circulatory overload during a blood transfusion?

Abdominal pain (D) Signup and view all the answers

What is the primary goal of administering vasopressors, such as dopamine, in septic shock during a blood transfusion?

To combat vasodilation (A) Signup and view all the answers

What is the purpose of saving the blood bag and tubing in case of a suspected reaction during a blood transfusion?

For testing and analysis (C) Signup and view all the answers

In disseminated intravascular coagulation (DIC), what is the primary action to take in the early phase?

Administer anticoagulants, such as heparin (B) Signup and view all the answers

What is the primary purpose of initiating a saline infusion in case of a mild allergic reaction during a blood transfusion?

To prevent further allergenic exposure (D) Signup and view all the answers