Question 1

A patient is to receive Factor VIIa. How will the nurse plan to administer this factor?

Accepted Answer

Factor VIIa is typically administered by IV bolus to ensure rapid action and effectiveness in controlling bleeding.

Question 2

Which patient statement indicates the need for further teaching about blood transfusions?

Accepted Answer

This statement is incorrect as there is a risk of disease transmission through blood transfusions. This indicates that further teaching is needed to clarify the risks associated with blood transfusions.

Question 3

Which technique should the nurse use when infusing fresh frozen plasma?

Accepted Answer

Fresh frozen plasma should be administered through a filter to remove any potential particulate matter or aggregates that could cause harm to the patient. This is a standard practice to ensure the safety and efficacy of the transfusion.

Question 4

The nurse is planning to administer 10 units of platelets to a patient with thrombocytopenia. The nurse plans to have a platelet count drawn within _______ minutes of the end of the transfusion.

Accepted Answer

The answer of The nurse is planning to administer 10...

Question 5

A patient has received a unit of packed red blood cells. If the patient is not bleeding, the nurse would expect that the hematocrit would rise _____ %.

Accepted Answer

The answer of A patient has received a unit of...

Question 6

A patient had an acute hemolytic transfusion reaction that resulted in death. When discussing this situation with nursing staff, the manager should consider which possible causes of this reaction?. Select all that apply.

Accepted Answer

ABO incompatibility of the donor and recipient (C) is a major cause of acute hemolytic transfusion reactions. Nurse's error when checking the blood (A) is also a possible cause, as it can lead to the transfusion of incompatible blood.

Question 7

A unit of packed red blood cells was ordered for a patient. Twenty minutes after the blood began infusing, the patient developed dyspnea, chest pain, bloody urine, and a decrease in blood pressure. The nurse would characterize this as which type of transfusion reaction?

Accepted Answer

The symptoms described are consistent with an acute hemolytic transfusion reaction, which is a serious and potentially life-threatening reaction. The patient's immune system is reacting to the transfused blood, causing the destruction of red blood cells and the release of hemoglobin, which can lead to the symptoms described. Prompt discontinuation of the transfusion and supportive care are necessary to manage this type of reaction.

Question 8

A patient is in critical need of additional blood transfusions related to massive hemorrhage. The blood bank has no blood that matches the patient's type. The nurse would agree to administer non-type-specific blood if the patient has which blood type?

Accepted Answer

AB blood type is considered the universal recipient, meaning individuals with this blood type can receive red blood cells from any other blood type.

Question 9

The nurse has chosen the nursing diagnosis Risk of Injury for a patient who will likely need several blood transfusions to treat gastrointestinal bleeding. What rationale would the nurse provide for this choice?. Select all that apply.

Accepted Answer

Blood transfusions can lead to iron overload and hemolysis of red blood cells, both of which pose a risk of injury to the patient.

Question 10

The policy and procedure for blood administration call for giving no more than 30 mL in the first 15 minutes. To give that much through tubing with 10 gtts/mL, what would the drip rate be?

Accepted Answer

To calculate the drip rate: (30 mL / 15 minutes) x 10 gtts/mL = 20 gtts/min.

Question 11

A patient has been prescribed 3 units of packed red blood cells. How should the nurse proceed?. Select all that apply.

Accepted Answer

A) An 18-gauge catheter is typically recommended for blood transfusions to ensure the smooth flow of blood without causing hemolysis. B) Special Y-type tubing is used for blood transfusions to allow for saline to be infused simultaneously if needed, helping to keep the line clear and reduce the risk of clotting. E) Staying with the patient for the first 15 minutes of the transfusion is crucial to monitor for any adverse reactions, which are most likely to occur at the beginning of the transfusion.

Quiz 16: Fluid and Blood Infusion Therapy