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Blood Therapy Exam Remotely Proctored BSN36602 Concepts of Nursing IV

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Blood Therapy: Exam (Remotely Proctored): BSN366-02 Concepts of Nursing IV The nurse is inspecting a unit of platelets prior to administering it to the patient. What should the nurse expect to see? A young female trauma patient requires immediate massive blood transfusion on arrival to the emergency department. The nurse should administer: When preparing to administer red blood cells, the nurse notes that lactated Ringer's solution is hanging on the patient's intravenous (IV) pole. The most appropriate action before administering the blood product is to cease administering the lactated Ringer's solution and flush the line with: After transfusion of several units of blood, a patient continues to bleed. What should the nurse anticipate the health care provider will order? A patient has a low hemoglobin and hematocrit values. The nurse would expect the health care provider to order a transfusion of which of the following? On inspection, a unit of blood from the blood bank has several blood clots clinging to the bag. What is the nurse's best course of action? A patient has a pretransfusion hemoglobin value of 6 g/dL and a hematocrit value of 18%. Two units of RBCs are transfused. Four hours after completing the transfusion, what would the nurse expect the patient's hemoglobin and hematocrit values to be? The patient is receiving a unit of whole blood. The patient complains of pain from the surgical site. The patient has an order for morphine 2 mg IV push every hour as needed. What is the nurse's best action? The nurse is initiating a blood transfusion of packed RBCs. At what rate should the infusion initially be set? The nurse initiates a blood transfusion of packed RBCs at 0800. The unit of blood should not hang beyond: The nurse obtains the patients vital signs prior to initiating a blood transfusion. The patient's vital signs are BP 114/78, T 100.3 F, P 88, R 20. What is the nurse's most appropriate action? The nurse initiates a blood transfusion at 0800. When would an acute hemolytic transfusion reaction most likely occur? A patient who is classified as a universal recipient has what blood type? The nurse checks the health care provider's orders to determine if there are any pretransfusion medications to be administered. Which of the following would the nurse most likely expect to administer? The nurse is preparing to infuse a blood transfusion rapidly for a patient who experienced significant blood loss in a motor vehicle accident. Which gauge of IV cannula would be best for the nurse to choose? The nurse initiates a blood transfusion and monitors the patient for signs of a transfusion reaction. Five minutes into the transfusion, which would be cause for concern? Which of the following would be one of the first signs of an adverse reaction to a blood transfusion? How long should the nurse stay with the patient after initiating a blood transfusion? The nurse obtains the blood from the blood bank and is called away to see another patient. Twenty minutes later the nurse realizes she will be unable to initiate the transfusion at this time. What is the nurse's best action? A hemorrhaging patient has type B+ blood and is need of a transfusion of whole blood as soon as possible. The blood bank sends type O- blood. What is the nurse's best action? Which of the following may result from rapid infusion of blood without the use of a blood warmer? (select all that apply)

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Blood Therapy: Exam (Remotely Proctored):
BSN366-02 Concepts of Nursing IV

1). The nurse is inspecting a unit of platelets prior to administering it to the patient. what
should the nurse expect to see?

 Ans: Appears clear, light pink, or straw in color.


2). A young female trauma patient requires immediate massive blood transfusion on arrival to
the emergency department. the nurse should administer:

 Ans: O- whole blood


3). When preparing to administer red blood cells, the nurse notes that lactated ringer's solution
is hanging on the patient's intravenous (iv) pole. the most appropriate action before
administering the blood product is to cease administering the lactated ringer's solution and
flush the line with:

 Ans: Normal saline solution


4). After transfusion of several units of blood, a patient continues to bleed. what should the
nurse anticipate the health care provider will order?

 Ans: Platelets


5). A patient has a low hemoglobin and hematocrit values. the nurse would expect the health
care provider to order a transfusion of which of the following?

 Ans: RBCs


6). On inspection, a unit of blood from the blood bank has several blood clots clinging to the
bag. what is the nurse's best course of action?

 Ans: Notify the blood bank.


7). A patient has a pretransfusion hemoglobin value of 6 g/dl and a hematocrit value of 18%.
two units of rbcs are transfused. four hours after completing the transfusion, what would
the nurse expect the patient's hemoglobin and hematocrit values to be?


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