Transfusion Therapy and
Blood Cell Disorders –
Study Notes and Practice
Questions
Page 1
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_ Transfusion Therapy and Blood Cell Disorders – Study Notes and Practice Questions.pdf
,CH. 37_ Transfusion Therapy_Red & White Blood Cell Disorders 2 2026-03-02
The nurse educator is teaching a nursing student about the transfusion of blood products. Which
statement made by the student nurse regarding the transfusion of red blood cells indicates effective
learning?
"Do not administer any other solution with the blood product."
"Red blood cell transfusions should be completed within 4 hours of removal from refrigeration."
"Increasing the speed of administration during the first 15 minutes of the transfusion is necessary."
"Once the blood product has been released from the blood bank, it should be immediately
transfused into the recipient's body within a few seconds."
"Red blood cell transfusions should be completed within 4 hours of removal from refrigeration."
Red blood cell transfusions should be performed within 4 hours of after removal from the
refrigeration. If the transfusion time extends longer than four hours, it may lead to infections in the
recipient. Hemolytic reaction may occur if saline is not administered with the blood product.
Increasing the rate of administration of the drug may lead to fluid overload. After the blood product
is released from the blood bank, it must be transfused within 4 hours, not immediately.
Page 2 CH. 37_ Transfusion Therapy_Red & White Blood Cell Disorders.pdf
,CH. 37_ Transfusion Therapy_Red & White Blood Cell Disorders 3 2026-03-02
Which data is least required when initiating a transfusion process?
Patient's band name
Patient's band number
Patient's room number
Patient's date of birth
Patient's room number
According to The Joint Commission's National Patient safety goals, the patient's room number is not
an acceptable form of identification. As per the safety goals, the patient's identification is based on
the patient's band name, band number, and identification of the blood component. The date of birth
is part of the standard identification process.
Page 3 CH. 37_ Transfusion Therapy_Red & White Blood Cell Disorders.pdf
, CH. 37_ Transfusion Therapy_Red & White Blood Cell Disorders 4 2026-03-02
A patient is prescribed a 200 mL infusion of packed red blood cells to be administered over 2 hours.
What would be the consequence if the blood product is diluted with normal saline and infused at a
rate of 3 mL/min?
Allergy
Clotting
Hemolysis
Fluid overload
Fluid overload
The infusion rate prescribed by the healthcare provider is 1.6 mL/min (200 mL in 2 hours). Infusion of
the blood product at a rate of 3 mL/min may cause rapid infusion leading to fluid overload. Allergies
may occur in patients with a medical history of allergic transfusion reactions. Clotting occurs when
blood products are diluted with any intravenous solution other than normal saline. Hemolysis is
caused by a blood type or Rh incompatibility.
Page 4 CH. 37_ Transfusion Therapy_Red & White Blood Cell Disorders.pdf