Blood Administration  ATI
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Blood Administration ATI

Created by
@ExultantHummingbird

Questions and Answers

A nurse started a transfusion of packed RBCs for a client 1 hr ago. The client has suddenly developed shaking chills, muscle stiffness, and a temperature of 38.6° C (101.5° F). The client appears flushed and reports a headache and "nervousness." The nurse should identify that the client has most likely developed which of the following types of transfusion reaction?

  • Septic
  • Acute hemolytic
  • Allergic
  • Febrile nonhemolytic (correct)
  • A client who is anticipating total hip replacement is considering autologous transfusion. When teaching this client about autologous transfusion, it is important to emphasize that

  • it reduces the risk of mismatched blood. (correct)
  • a hemoglobin level above 9.5 mg/dL is required to receive this transfusion.
  • there is no need to test the blood for infectious diseases.
  • donations can be made every other day.
  • A nurse is preparing a blood transfusion for a client who has type A blood. The nurse should know that the client can safely receive blood from blood group O because

  • type O blood contains no A antigens. (correct)
  • type A blood contains O antibodies.
  • type O blood contains no A antibodies.
  • type A blood contains O antigens.
  • A nurse is caring for a client who is receiving a blood transfusion and reports itching. The nurse observes areas of urticaria on the client's skin. Which of the following actions should the nurse take?

    <p>Stop the blood transfusion.</p> Signup and view all the answers

    Which of the following actions should a nurse take prior to starting a blood transfusion?

    <p>Ensure that informed consent has been obtained from the client.</p> Signup and view all the answers

    A platelet transfusion is indicated for a patient who

    <p>has thrombocytopenia.</p> Signup and view all the answers

    A nurse is providing education to a client who has a prescription for a blood transfusion. Which of the following statements should the nurse include in the teaching?

    <p>&quot;You must immediately report any symptoms like chills, nausea, or itching.&quot;</p> Signup and view all the answers

    A nurse is caring for a client who is about to receive a unit of packed RBCs and states, "This is my third unit of blood today. I don't want to get some disease from all this blood." Which of the following responses should the nurse make?

    <p>&quot;Donated blood is carefully screened for infectious diseases.&quot;</p> Signup and view all the answers

    When administering a transfusion of packed red blood cells, it is important to

    <p>make sure the entire unit is transfused within 4 hr.</p> Signup and view all the answers

    A nurse is preparing to initiate the transfusion of a unit of packed RBCs to a client. After the unit of blood has arrived, which of the following procedures will help the nurse protect the client against the possibility of a blood-group incompatibility?

    <p>Comparing the ID numbers on the blood unit with those on the order form and the client's wristband</p> Signup and view all the answers

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