CBL Quiz Week 1

Question 1

Blood compatability testing is essential to prevent transfusion of donor blood cells which may cause serious harm. What is the name of the blood test used to determine the patient’s ABO and RhD type and to screen for anitbodies?

Answer 1

group and hold

Question 2

What solution/s are compatible with RBCs?

Answer 2

normal saline only

Question 3

A patient is receiving a first-time blood transfusion of packed RBC. How long should the nurse stay and monitor the client to identify a transfusion reaction?

Answer 3

15mns

Question 4

The registered nurse is caring for a patient with an ongoing transfusion of packed RBC’s when suddenly the patient is having difficulty breathing, skin is flushed and having chills. Which action should the RN take first?

Answer 4

stop the transfusion

Question 5

Once a prescribed unit of blood product has been obtained from the blood bank and is out of refrigeration, the transfusion should commence within what period of time before it starts to deteriorate?

Answer 5

30mns

Question 6

What components of blood can be transfused?

Answer 6

RBCs, WBCs, platelets and plasma

Question 7

What are some clinical indications for a transfusion to be prescribed and administered?

Answer 7

to increase circulatory blood volume, increase O2 carrying capability of the blood, decrease risk of bleeding (platelets)

Question 8

Where and how should the final check for a unit of blood for transfusion be done?

Answer 8

at the patient’s bedside using their ID band, labelled blood bag, path form stating compatible blood bag details and transfusion order

Question 9

A patient with O+ blood received A+ blood. The patient is at risk for?

Answer 9

haemolytic transfusion reaction

Question 10

describe haemolytic transfusion reaction

Answer 10

mismatch between donor and recipient blood type, ABO or RhD incompatibility

Question 11

describe allergic transfusion reaction

Answer 11

allergic response to proteins in the donor blood regardless of blood type compatibility

Question 12

describe febrile transfusion reaction

Answer 12

recipient immune response to WBC antigens or cytokines in transfused blood

Question 13

List the compatible donor blood groups for: A, B, AB and O

Answer 13

A: A and O
B: B and O
AB: A, B, AB and O
O: O

Question 14

list the main functions of RBCs

Answer 14

remove CO2, carry O2 with the help of Hb, are suspended in plasma