Shadow Health Gastrointestinal System Hourly Rounds Blood
Transfusion 15 Of 15 (100.00%) 2025-2026 Updates
BSN366-02 (2025-02) Concepts of Nursing IV - Pediatrics, 20252bsn36602
Return to Assignment (/assignments/1168269/)
Your Results Lab Pass (/assignment_attempts/19331424/lab_pass.pdf)
Overview
Blood Transfusion: 15 of 15 (100.00%)
Transcript
Subjective Data Collection
Prompt Learner Response Model Response
Objective Data Collection
Education & Empathy
Preceptor Diana: Based on these Attempt 1: Attempt 1:
Documentation updated lab values, what factors Hemoglobin of 7.8 and hematocrit of 23.4% Correct! While all of these answers
indicate the need for intervention for include this patient's abnormal
Blood Transfusion this patient? values, the hemoglobin and
Score: 1 out of 1
hematocrit indicate a need for
intervention.
Preceptor Diana: Review the Attempt 1: Attempt 1:
information in the EHR and the labs Transfuse 1 unit of PRBCs Correct! Because of the low
that were ordered in the emergency hemoglobin and hematocrit of the
department and then choose the patient, and because the type and
Score: 1 out of 1
best course of action. cross has already been completed,
the best course of action is to
transfuse blood into the patient.
Choose the option that best Attempt 1: Attempt 1:
describes the risks associated with While there are some risks associated with Correct! It is important to discuss
blood transfusion. blood reactions and communicable disease, the both the risks and how those risks
risks are greatly reduced by safety practices in are mitigated when obtaining
the hospital and by screening processes in the informed consent.
blood bank.
Score: 1 out of 1
Choose the following response that Attempt 1: Attempt 1:
describes the best practice for We will monitor you continuously during the Correct! The priority response when
treating a blood transfusion transfusion, and in the unlikely event you have a a patient has a reaction during a
reaction. reaction, we will stop the transfusion and treat blood transfusion is to end the
you based on the severity of the reaction. transfusion immediately, and to treat
the patient based on the severity of
Score: 1 out of 1 the reaction.
, Prompt Learner Response Model Response
Why is it important to ensure that Attempt 1:
the IV is patent before leaving to Attempt 1: Correct! Since there is a limited
pick up the blood from the blood window of time between when
An IV must be patent, and the catheter must be
bank? blood first leaves the blood bank
the correct gauge, in order to begin a
transfusion. Because of the limited time allowed and when the blood must finish
transfusing, it is important to
to complete a transfusion, it is best practice to
ensure that there will be no
complete all possible steps before retrieving complications in beginning the
blood from the blood bank. transfusion process once the blood
is acquired.
Score: 1 out of 1
What is the correct size range for a Attempt 1:
blood transfusion catheter? Attempt 1: Correct! This is the correct size
20 gauge or lower range for catheters used in blood
transfusions.
Score: 1 out of 1
Why are catheters of 20 gauge or Attempt 1:
lower used for blood transfusions? Catheters with a gauge higher than 20 cause Attempt 1:
lysis of the red blood cells. Correct! A smaller radius catheter
will cause lysis, therefore the
minimum size of a catheter for a
Score: 1 out of 1
blood transfusion should be 20
gauge.
Choose the best option for why it is Attempt 1:
important to check the patient's Attempt 1: Correct! Ensuring you have a
vitals before beginning a baseline temperature will help you
Noting a baseline temperature will allow
transfusion. to diagnose a transfusion reaction
monitoring of changes in the patient's
temperature, which will indicate if a transfusion more quickly.
reaction is taking place.
Score: 1 out of 1
Choose the best option for Attempt 1:
calculating transfusion rate: Correct! This is the best practice
Attempt 1: for blood transfusions.
Begin transfusion rate at 50 mL/hr for the first
fifteen minutes, then increase to 200 mL/hr
over the next 1.5 hours. Score: 1 out of 1
Choose the best response that Attempt 1:
describes why transfusions should Attempt 1: Correct! This is the reason that
begin at a slow rate and then blood transfusions are begun at a
Beginning a transfusion at a slower rate allows
increase. slow rate and then increased.
the care provider to observe for transfusion
reactions before exposing the patient to a
higher concentration of potential antigens.
Score: 1 out of 1
Transfusion 15 Of 15 (100.00%) 2025-2026 Updates
BSN366-02 (2025-02) Concepts of Nursing IV - Pediatrics, 20252bsn36602
Return to Assignment (/assignments/1168269/)
Your Results Lab Pass (/assignment_attempts/19331424/lab_pass.pdf)
Overview
Blood Transfusion: 15 of 15 (100.00%)
Transcript
Subjective Data Collection
Prompt Learner Response Model Response
Objective Data Collection
Education & Empathy
Preceptor Diana: Based on these Attempt 1: Attempt 1:
Documentation updated lab values, what factors Hemoglobin of 7.8 and hematocrit of 23.4% Correct! While all of these answers
indicate the need for intervention for include this patient's abnormal
Blood Transfusion this patient? values, the hemoglobin and
Score: 1 out of 1
hematocrit indicate a need for
intervention.
Preceptor Diana: Review the Attempt 1: Attempt 1:
information in the EHR and the labs Transfuse 1 unit of PRBCs Correct! Because of the low
that were ordered in the emergency hemoglobin and hematocrit of the
department and then choose the patient, and because the type and
Score: 1 out of 1
best course of action. cross has already been completed,
the best course of action is to
transfuse blood into the patient.
Choose the option that best Attempt 1: Attempt 1:
describes the risks associated with While there are some risks associated with Correct! It is important to discuss
blood transfusion. blood reactions and communicable disease, the both the risks and how those risks
risks are greatly reduced by safety practices in are mitigated when obtaining
the hospital and by screening processes in the informed consent.
blood bank.
Score: 1 out of 1
Choose the following response that Attempt 1: Attempt 1:
describes the best practice for We will monitor you continuously during the Correct! The priority response when
treating a blood transfusion transfusion, and in the unlikely event you have a a patient has a reaction during a
reaction. reaction, we will stop the transfusion and treat blood transfusion is to end the
you based on the severity of the reaction. transfusion immediately, and to treat
the patient based on the severity of
Score: 1 out of 1 the reaction.
, Prompt Learner Response Model Response
Why is it important to ensure that Attempt 1:
the IV is patent before leaving to Attempt 1: Correct! Since there is a limited
pick up the blood from the blood window of time between when
An IV must be patent, and the catheter must be
bank? blood first leaves the blood bank
the correct gauge, in order to begin a
transfusion. Because of the limited time allowed and when the blood must finish
transfusing, it is important to
to complete a transfusion, it is best practice to
ensure that there will be no
complete all possible steps before retrieving complications in beginning the
blood from the blood bank. transfusion process once the blood
is acquired.
Score: 1 out of 1
What is the correct size range for a Attempt 1:
blood transfusion catheter? Attempt 1: Correct! This is the correct size
20 gauge or lower range for catheters used in blood
transfusions.
Score: 1 out of 1
Why are catheters of 20 gauge or Attempt 1:
lower used for blood transfusions? Catheters with a gauge higher than 20 cause Attempt 1:
lysis of the red blood cells. Correct! A smaller radius catheter
will cause lysis, therefore the
minimum size of a catheter for a
Score: 1 out of 1
blood transfusion should be 20
gauge.
Choose the best option for why it is Attempt 1:
important to check the patient's Attempt 1: Correct! Ensuring you have a
vitals before beginning a baseline temperature will help you
Noting a baseline temperature will allow
transfusion. to diagnose a transfusion reaction
monitoring of changes in the patient's
temperature, which will indicate if a transfusion more quickly.
reaction is taking place.
Score: 1 out of 1
Choose the best option for Attempt 1:
calculating transfusion rate: Correct! This is the best practice
Attempt 1: for blood transfusions.
Begin transfusion rate at 50 mL/hr for the first
fifteen minutes, then increase to 200 mL/hr
over the next 1.5 hours. Score: 1 out of 1
Choose the best response that Attempt 1:
describes why transfusions should Attempt 1: Correct! This is the reason that
begin at a slow rate and then blood transfusions are begun at a
Beginning a transfusion at a slower rate allows
increase. slow rate and then increased.
the care provider to observe for transfusion
reactions before exposing the patient to a
higher concentration of potential antigens.
Score: 1 out of 1
