Blood Administration

Question 1

What must be received before a blood transfusion is started?

Answer 1

A signed written consent

Question 2

Which blood type is considered universal and can be used for all other donors?

Answer 2

Type O Negative

Question 3

Which blood type is considered the universal recipient and can recieve all blood types?

Answer 3

Type AB positive

Question 4

What is the most common infection spread through blood transfusion?

Answer 4

Hepatitis B

Question 5

In order to determine donor compatibility, what test must be done?

Answer 5

Type and cross match

Question 6

What must be done to determine a clients baseline before starting the trasnfusion?

Answer 6

Take the vital sign

Question 7

What size IV gauge must the client have for blood transfusion?

Answer 7

18 gauge with filter needle

Question 8

How many nurses confirm the unit of blood?

Answer 8

2

Question 9

How long after blood is removed from the blood bank’s refrigerator should it be started?

Answer 9

30 minutes

Question 10

How long must the nurse stay with the client after the transfusion is started?

Answer 10

15 minutes

Question 11

How many mLs are in one unit of packed red blood cells?

Answer 11

About 250 mL

Question 12

What are signs of an adverse reaction with blood transfusion?

Answer 12

-Restlesseness
-Nausea
-hives
-SOB
-fever
-chills
-backpain

Question 13

Why is blood administered at a slow rate?

Answer 13

Because running blood fast can cause fluid overload in patients.

Question 14

Which drug is used to treat anemia because it increases red blood cell production?

Answer 14

Epoetin Alfa?

Question 15

Clients taking Epoetin Alfa should be monitored for what?

Answer 15

Hypertension and seizure

Question 16

Clinical priority 1 :
What should the nurse get from the patient for a blood transfusion?

Answer 16

Consent (unless its emergency)

Question 17

Clinical priority 2 :

What should the nurse check before administration of blood transfusion?

Answer 17

Vital signs

Question 18

Clinical priority 3:

The nurse should confirm the blood type match with how many nurses befor administration?

Answer 18

2 Licensed nurses

Question 19

Clinical priority 4:

How many minutes would the nurse first and afterwards monitor the patient?

Answer 19

The first 15 minutes the nurse would stay in the room with the patient after no reaction noted the nurse would monitor the patient for 30 minutes.

Question 20

Clinical priority 5:

if transfusion reaction occurs what would the nurse do?

Answer 20

Stop the blood, but continue to run the normal saline that is hung with the blood.

Question 21

Clinical priority 6

What would the nurse collect from the client as soon as reaction is noted?

Answer 21

Urine and blood cultures as soon as possible

Question 22

Clinical priority 7:Last step

Whom should the nurse notify of the blood transfusion reaction?

Answer 22

The physician (HCP)

Question 23

Clinical priority 7:Last step

Whom should the nurse notify of the blood transfusion reaction?

Answer 23

The physician (HCP)